Mind the Cleft: Closing the Gap, One Step at a Time

Saturday, November 15, 2025

7:48 AM - 7:56 AM CT

Location: Griffin Hall - Screen 02

Introduction: A 23-year-old female with schizencephaly, cerebral palsy, and right hemiplegic gait with clonus presented for spasticity management. Despite ongoing therapy, she had persistent right upper limb spasticity. She was scheduled for botulinum toxin (Botox) injections, previously effective, and received treatment in the pronator teres, brachioradialis, and biceps brachii. Her goals included improving fine motor skills and learning to drive. She reported functional improvement post-injection, including greater range of motion and better control in daily activities.

Submitting Author(s)

MF

Michael Fedorovsky, DO

Resident Physician
Nassau University Medical Center
east Meadow, New York, United States

Co-Author(s)

AA

Aruba Asad, DO

Resident Physician
Nassau University Medical Center
east Meadow, United States
AZ

Aaron Zell, DO

Resident Physician
Nassau University Medical Center
East Meadow, New York, United States
NT

Naveed Tariq, DO

Resident Physician
Nassau University Medical Center, United States
WG

Walter Gaudino, MD

Attending Physician
Nassau University Medical Center
east Meadow, United States