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J Mov Disord. 2010 Oct;3(2):39-41. doi: 10.14802/jmd.10010. Epub 2010 Oct 30.

Four cases with peripheral trauma induced involuntary movements.

Journal of movement disorders

Eun Joo Chung, Sang Jin Kim, Won Yong Lee, Jong Seok Bae, Eung Gyu Kim, Sung Hwa Pang

Affiliations

  1. Department of Neurology, Inje University College of Medicine, Busan, Korea.
  2. Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  3. Department of Neurosurgery, Inje University College of Medicine, Busan, Korea.

PMID: 24868379 PMCID: PMC4027669 DOI: 10.14802/jmd.10010

Abstract

BACKGROUND AND PURPOSE: Although peripheral trauma induced movement disorders have been rarely reported, diagnostic criteria for peripherally induced movement disorders (PIMD) have been established. Because preexisting subclinical movement disorders, or secondary gain for compensation and legal purposes are difficult to confirm, differential diagnosis for physicians still remains difficult.

CASE REPORTS: We present four patients developed movement disorders after relatively various intervals after traffic accident. Three patients of them showed tremor and one patient presented propriospinal myoclonus. In this report, we investigate whether peripheral trauma can lead to movement disorders and describe the relationship between peripheral injury and movement disorders in four cases.

CONCLUSIONS: Injury was serious enough to develop involuntary abnormal movements with pain and the latency between injury and the onset of movements in all of cases was less than 1 year. Thus, our cases showed temporal and anatomical correlation between injury and the onset of movement disorder, strongly supporting the cause-and-effect relationship by previous diagnostic criteria for peripherally induced movement disorders.

Keywords: Peripheral injury; Propriospinal myoclonus; Tremor

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