Intervention effects of different brands of botulinum toxin type A on Meige syndrome with anxiety symptoms - Report - MDSpire

Intervention effects of different brands of botulinum toxin type A on Meige syndrome with anxiety symptoms

  • By

  • Yunyu Tang

  • Ruen Liu

  • May 7, 2026

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Clinical Report: Comparative Analysis of Botulinum Toxin Type A Brands in Meige Syndrome

Overview

This study evaluates the efficacy of different brands of botulinum toxin type A, specifically Hengli and Botox, in treating Meige syndrome with anxiety symptoms. Results indicate no significant differences in treatment outcomes or side effects between the brands used.

Background

Meige syndrome is a rare craniofacial dystonia that can severely impact patients' quality of life, often accompanied by anxiety symptoms. It has an incidence rate of 59 per million. Botulinum toxin type A is a common treatment option, but understanding the comparative effectiveness of different brands is essential for optimizing patient care. This study contributes to the evidence base for clinical decision-making regarding botulinum toxin therapy in this patient population.

Data Highlights

No statistically significant differences were observed in treatment outcomes between the Hengli and Botox cohorts.

Key Findings

  • No significant differences in overall remission rates between botulinum toxin brands (p > 0.05).
  • Duration of efficacy maintenance was similar across both cohorts (p > 0.05).
  • Scores on the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) showed no significant changes (p > 0.05).
  • Polysomnography metrics did not differ significantly between cohorts (p > 0.05).
  • Adverse effects were comparable between the two brands, with no significant disparities (p > 0.05).

Clinical Implications

Clinicians can consider using any brand of botulinum toxin type A for treating Meige syndrome with anxiety symptoms, as no significant differences in efficacy or side effects were found. This flexibility allows for practical considerations in treatment selection based on availability, cost, and patient-specific factors.

Conclusion

Botulinum toxin type A is a safe and effective treatment for Meige syndrome with anxiety symptoms, with no notable differences in outcomes among various brands. Clinical decisions should be guided by pragmatic factors and individual patient needs rather than brand preference.

References

  1. Evaluation of Outlet Type Constipation in Adults Following Treatment with Type A Botulinum Toxin: A Cohort Analysis, 2024 -- Springer
  2. Botulinum Toxin Evaluated in Digital Ischemia, 2024 -- Conexiant
  3. Botulinum Toxin Therapy for Chronic Functional Anorectal Pain: Insights from a Specialized Proctology Clinic, 2019 -- Springer
  4. Blepharospasm - Eye Disorders - Merck Manual Professional Edition, 2024 -- Merck Manual
  5. Real-World Dosing of OnabotulinumtoxinA and IncobotulinumtoxinA for Cervical Dystonia and Blepharospasm, 2024 -- PMC
  6. Evaluating the Dose-Dependent Efficacy of Botulinum Toxin Injections in Managing Chronic Anal Fissures: A Meta-Analytic Review
  7. Neural correlates of anxiety in adult-onset isolated dystonia - PubMed
  8. Blepharospasm - Eye Disorders - Merck Manual Professional Edition
  9. Real-World Dosing of OnabotulinumtoxinA and IncobotulinumtoxinA for Cervical Dystonia and Blepharospasm: Results from TRUDOSE and TRUDOSE II - PMC

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