Dystonia induced by peripheral trauma: Four case reports and review

Author(s): Alonso, M. E. R., Kolbe, H., Mullervahl, H.

Journal/Book: Aktuel Neurol. 1995; 22: P O Box 30 11 20, D-70451 Stuttgart, Germany. Georg Thieme Verlag. 169-172.

Abstract: It is common to group the many aetiologically different varieties of dystonia into genetic (idiopathic) and symptomatic (secondary) forms. Peripheral trauma has only rarely been implicated as a causal factor. It is unclear at present whether a genetic predisposition has to be assumed in every case or if the trauma can cause a dystonic movement disorder in and of itself. It could be hypothesised that the peripheral trauma induces a change within the basal ganglia which in turn leads to the movement disorder. We present four patients who after having sustained a peripheral trauma developed a dystonic disorder at the locus of the injury with secondary generalisation in two cases.

Note: Review KR Rogmann, Hannover Med Sch, Neurol & Klin Neurophysiol Klin, Konstanty Gutschow Str 8, D-30625 Hannover, Germany

Keyword(s): IDIOPATHIC TORSION DYSTONIA; SPASMODIC TORTICOLLIS; MOVEMENT DISORDER; FOCAL DYSTONIA; MUSICIANS; PAIN

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