Exploratory Use of Proximal Cryoneurolysis and Distal Botulinum Toxin Type A for Upper-Limb Spasticity: A Case Report with Scoping Review

Key Points

• The combined approach effectively addresses complex upper-limb spasticity while maintaining hand function to a significant degree.
• A supportive outcome is that the integration of proximal cryoneurolysis and distal botulinum toxin type A can yield positive results.
• Observational analysis on spasticity treatments highlights the feasibility of dual-modulation therapies for better outcomes.
• Further investigation is needed to validate these findings and possibly extend the use of this method beyond initial cases.