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BTX and phenol or ethanol can be used together in an complementary approach to the patient with cerebral palsy and spasticity. This combined approach has the potential to avoid the dose limitations of each agent and offers the advantage of a more comprehensive management of muscle overactivity.
For example, BTX can be used to treat spasticity of small muscle groups while phenol or ethanol is used to control the manifestations of hyperactivity in larger muscle groups.
- See Next section: Neurosurgical Interventions for Spasticity in Children with Cerebral Palsy