Background. The consequences of brain accidents, as a rule, lead to severe disabling consequences. To reduce the cost of treatment and improve the quality of rehabilitation measures, botulinum therapy has become widespread in recent years. To assess the dosage of the drug and the effective use of this treatment, it is important to determine the nature of the increase in muscle tone.
Description of the clinical case. A case of post-stroke dystonia in patient F. is presented. After botulinum toxin therapy, it was possible to achieve a regression of neurological symptoms, a pronounced improvement in self-care function and an increase in the quality of life. Conclusion. According to the authors, it is necessary to expand the indications for the use of this group of drugs (including «off-label», guided by the available scientific publications), which will improve the quality of treatment, reduce the length of hospital stay, and improve the quality of life of patients.

Keywords: botulinum toxin therapy, motor disorders, acute cerebrovascular accident