The causes of dystonia are not fully understood and although currently available treatments can provide effective symptomatic relief, they cannot provide curative disease modification. Botulinum neurotoxin type A injections are well established for the symptomatic treatment of focal dystonias and post-stroke spasticity. Three proprietary injectable formulations of botulinum neurotoxin type A are currently available: Botox® (onabotulinumtoxinA), Dysport® (abobotulinumtoxinA), and Xeomin® (incobotulinumtoxinA). Of these, only Xeomin® is purified to remove…