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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1992 Jul;55(7):626–627. doi: 10.1136/jnnp.55.7.626

Spasms of amputation stumps.

J Kulisevsky 1, J Martí-Fàbregas 1, J M Grau 1
PMCID: PMC489180  PMID: 1640244

Abstract

Two patients are presented with muscle spasms in an amputation stump. Neither patient experienced neuropathic pain nor phantom sensations, though phantom sensory phenomena, severe pain, and lack of response to treatment is characteristic of reported cases. One patient, a 75 year old man, has had myoclonic activity of the stump for more than two years, and the other, a 79 year old woman, recovered spontaneously after three months and is symptom free after a one year follow up. We emphasise the lack of association with pain and the need to consider spontaneous improvement when therapy is evaluated.

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Selected References

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

  1. Iacono R. P., Sandyk R., Bamford C. R., Awerbuch G., Malone J. M. Post-amputation phantom pain and autonomous stump movements responsive to doxepin. Funct Neurol. 1987 Jul-Sep;2(3):343–348. [PubMed] [Google Scholar]
  2. Jankovic J., Glass J. P. Metoclopramide-induced phantom dyskinesia. Neurology. 1985 Mar;35(3):432–435. doi: 10.1212/wnl.35.3.432. [DOI] [PubMed] [Google Scholar]
  3. Jankovic J., Van der Linden C. Dystonia and tremor induced by peripheral trauma: predisposing factors. J Neurol Neurosurg Psychiatry. 1988 Dec;51(12):1512–1519. doi: 10.1136/jnnp.51.12.1512. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Marion M. H., Gledhill R. F., Thompson P. D. Spasms of amputation stumps: a report of 2 cases. Mov Disord. 1989;4(4):354–358. doi: 10.1002/mds.870040412. [DOI] [PubMed] [Google Scholar]
  5. 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]
  6. Robberecht W., Van Hees J., Adriaensen H., Carton H. Painful muscle spasms complicating algodystrophy: central or peripheral disease? J Neurol Neurosurg Psychiatry. 1988 Apr;51(4):563–567. doi: 10.1136/jnnp.51.4.563. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Scherokman B., Husain F., Cuetter A., Jabbari B., Maniglia E. Peripheral dystonia. Arch Neurol. 1986 Aug;43(8):830–832. doi: 10.1001/archneur.1986.00520080068025. [DOI] [PubMed] [Google Scholar]
  8. Schoenen J., Gonce M., Delwaide P. J. Painful legs and moving toes: a syndrome with different physiopathologic mechanisms. Neurology. 1984 Aug;34(8):1108–1112. doi: 10.1212/wnl.34.8.1108. [DOI] [PubMed] [Google Scholar]
  9. Schott G. D. Induction of involuntary movements by peripheral trauma: an analogy with causalgia. Lancet. 1986 Sep 27;2(8509):712–716. doi: 10.1016/s0140-6736(86)90231-x. [DOI] [PubMed] [Google Scholar]
  10. Schwartzman R. J., Kerrigan J. The movement disorder of reflex sympathetic dystrophy. Neurology. 1990 Jan;40(1):57–61. doi: 10.1212/wnl.40.1.57. [DOI] [PubMed] [Google Scholar]
  11. 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]
  12. Steiner J. C., DeJesus P. V., Mancall E. L. Painful jumping amputation stumps: pathophysiology of a "sore circuit". Trans Am Neurol Assoc. 1974;99:253–255. [PubMed] [Google Scholar]

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