Departments of Neurology, New Jersey Medical School of the University of Medicine and Dentistry of New Jersey, Newark, NJ 07101, USA. souayani@umdnj.edu
We report a 34-year-old woman who developed clinical botulism after the cosmetic use of an unapproved botulinum toxin type A. Electrophysiologic findings demonstrated complete denervation with complete electrical silence. She had a lengthy recovery but was able to ambulate by discharge.