The Editor,

Sir,

A 44-year old woman with left hemiplegia was seen during a follow-up visit for post-stroke spasticity. She had left hemiplegia caused by a thrombotic cerebrovascular accident in 2009. For spasticity treatment, oral antispasticity drugs (baclofen and tizanidin) were prescribed and botulinum toxin (BTX) injections have been administered for a minimum six-month period. Nevertheless, it was difficult to resolve the spasticity in the left-side (especially in the upper limb).