Skip to main content
NCBI home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1985 Jul;48(7):698–701. doi: 10.1136/jnnp.48.7.698

The relationship of peripheral trauma and pain to dystonia.

G D Schott
PMCID: PMC1028414  PMID: 4031915

Abstract

Four patients are described who sustained comparatively minor peripheral injury, the affected area soon becoming the site of segmental dystonia. The movement disorder developed as the symptoms from the injury subsided, and except for the recent trauma, no cause for the dystonia was apparent; litigation was not an issue for any patient. It is suggested that on rare occasions peripheral trauma results in the development of dystonia. Since injury never involved the head, the role of the spinal dopaminergic system and the relevance of pain from the injury are discussed in considering possible underlying mechanisms.

Full text

PDF
698

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burke R. E., Fahn S., Gold A. P. Delayed-onset dystonia in patients with "static" encephalopathy. J Neurol Neurosurg Psychiatry. 1980 Sep;43(9):789–797. doi: 10.1136/jnnp.43.9.789. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Eldridge R. The torsion dystonias: literature review and genetic and clinical studies. Neurology. 1970 Nov;20(11):1–78. doi: 10.1212/wnl.20.11_part_2.1. [DOI] [PubMed] [Google Scholar]
  3. Hochberg F. H., Leffert R. D., Heller M. D., Merriman L. Hand difficulties among musicians. JAMA. 1983 Apr 8;249(14):1869–1872. doi: 10.1001/jama.249.14.1869. [DOI] [PubMed] [Google Scholar]
  4. Koller W. C. Edentulous orodyskinesia. Ann Neurol. 1983 Jan;13(1):97–99. doi: 10.1002/ana.410130121. [DOI] [PubMed] [Google Scholar]
  5. Kondo K., Tsubaki T. Case-control studies of motor neuron disease: association with mechanical injuries. Arch Neurol. 1981 Apr;38(4):220–226. doi: 10.1001/archneur.1981.00510040046007. [DOI] [PubMed] [Google Scholar]
  6. Lindvall O., Björklund A., Skagerberg G. Dopamine-containing neurons in the spinal cord: anatomy and some functional aspects. Ann Neurol. 1983 Sep;14(3):255–260. doi: 10.1002/ana.410140302. [DOI] [PubMed] [Google Scholar]
  7. MILLER H. TRAUMA AND MULTIPLE SCLEROSIS. Lancet. 1964 Apr 18;1(7338):848–850. doi: 10.1016/s0140-6736(64)91576-4. [DOI] [PubMed] [Google Scholar]
  8. Marsden C. D., Obeso J. A., Traub M. M., Rothwell J. C., Kranz H., La Cruz F. Muscle spasms associated with Sudeck's atrophy after injury. Br Med J (Clin Res Ed) 1984 Jan 21;288(6412):173–176. doi: 10.1136/bmj.288.6412.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Schott G. D. "Painful legs and moving toes": the role of trauma. J Neurol Neurosurg Psychiatry. 1981 Apr;44(4):344–346. doi: 10.1136/jnnp.44.4.344. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Schott G. D. The idiopathic dystonias. A note on their orthopaedic presentation. J Bone Joint Surg Br. 1983 Jan;65(1):51–54. doi: 10.1302/0301-620X.65B1.6822602. [DOI] [PubMed] [Google Scholar]
  12. Sheehy M. P., Marsden C. D. Trauma and pain in spasmodic torticollis. Lancet. 1980 Apr 5;1(8171):777–778. doi: 10.1016/s0140-6736(80)91281-7. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES