MS – BT for Adductor Spasm — SCE Neurology MCQ

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ModerateMultiple Sclerosis & CNS InflammationMS – BT for Adductor SpasmSCE Neurology

MS with adductor spasm causing hygiene difficulty. Oral antispasmodics insufficient. Targeted intervention?

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Correct answer: D — Botulinum toxin to hip adductors

Focal adductor spasticity: targeted botulinum toxin provides localised relaxation without systemic effects. A: ITB for generalised bilateral. C: Hepatotoxicity. D: Last resort. E: Not practical.

Reference: NICE NG100; RCP Spasticity Guidelines