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Peripheral Trauma Induced Dystonia or Post-Traumatic Syndrome?

Published online by Cambridge University Press:  02 December 2014

Hrishikesh Kumar  and
Mandar Jog
Hrishikesh Kumar*
Affiliation:
Movement Disorders Program, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
Mandar Jog
Affiliation:
Movement Disorders Program, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
*
Movement Disorders Program, London Health Sciences Centre, 339 Windermere Road, London, Ontario, N6A5A5, Canada
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Abstract

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The relationship between peripheral trauma and dystonia has been debated for more than a century but the issue still remains controversial. There are passionate supporters and detractors of the association and both the groups have their own arguments. This review aims to critically evaluate those arguments and presents current understanding of this association. In the process, the relevant case series and scientific papers exploring this subject have been discussed. Upon careful review of available literature coupled with their own experience, the authors believe that peripheral trauma can predispose to abnormal posturing of a body part after variable intervals. To call this posturing a “post-traumatic dystonia” might be premature and the term “post-traumatic syndrome” can be used instead. More work is needed to unravel the pathophysiology of this post-traumatic syndrome.

Résumé:

Résumé:

La relation entre le traumatisme périphérique et la dystonie est un sujet de controverse depuis plus de cent ans. Il y a des supporteurs et des détracteurs passionnés de cette relation et les deux groupes ont des arguments qui leur sont propres. Le but de cette revue était d'évaluer de façon critique ces arguments et de présenter les connaissances actuelles concernant cette relation. Les séries de cas pertinentes et les articles scientifiques sur ce sujet ont été examinés dans la discussion. Suite à une revue attentive de la littérature et compte tenu de leur propre expérience, les auteurs croient que le traumatisme périphérique peut prédisposer à une gesticulation d'une partie du corps après un intervalle variable. Il pourrait être prématuré de nommer cette dystonie de posture “dystonie post-traumatique” et le terme “syndrome post-traumatique” peut être utilisé à sa place. Il faudra effectuer des travaux supplémentaires pour faire la lumière sur la physiopathologie de ce syndrome post-traumatique.

Type
Review Article
Information
Canadian Journal of Neurological Sciences , Volume 38 , Issue 1 , January 2011 , pp. 22 - 29
Copyright
Copyright © Canadian Neurological Sciences Federation 2011

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