Post-traumatic Movement Disorders

  • Sotirios A. Parashos
Part of the Current Clinical Practice book series (CCP)


The relationship between trauma and movement disorders was recognized as early as the 19th century. Different types of trauma (e.g., mechanical injury, electrical injury, anoxic injury, repetitive injury) incurred on different parts of the nervous system (brain, spinal cord, peripheral nerves) in various ways (single or repetitive injury) have produced a great variety of movement disorders (parkinsonism, dystonia, tremors, hyperkinesis). Trauma can cause movement disorders directly, it can increase the risk for certain diseases affecting the extrapyramidal system, or it can act as a catalyst for the manifestation of an underlying subclinical condition. The significance of risk factors (such as family history of movement disorders and previous use of antidopaminergic agents) for the development of post-traumatic movement disorders remains controversial. The underlying pathophysiology is poorly understood, but it appears that regardless of the location of the trauma, both peripheral and central nervous system mechanisms may be involved.


Movement Disorder Severe Head Injury Cervical Dystonia Reflex Sympathetic Dystrophy Mild Head Injury 
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Selected Reading

  1. Biary N, Cleeves L, Findley L, Koller W. Post-traumatic tremor. Neurology 1989; 39: 103–106.PubMedCrossRefGoogle Scholar
  2. Cardoso F, Jankovic J. Peripherally induced tremor and parkinsonism. Arch Neurol 1995; 52: 263–270.PubMedCrossRefGoogle Scholar
  3. Chan J, Brin MF, Fahn S. Idiopathic cervical dystonia: clinical characteristics. Mov Disord 1991; 6: 119–126.PubMedCrossRefGoogle Scholar
  4. Dressler D, Thompson PD, Gledhill RF, Marsden CD. The syndrome of painful legs and moving toes. Mov Disord 1994; 9: 13–21.PubMedCrossRefGoogle Scholar
  5. Factor SA, Sanchez-Ramos J, Weiner WJ. Trauma as an etiology of parkinsonism: a historical review of the concept. Mov Disord 1988; 3: 30–36.PubMedCrossRefGoogle Scholar
  6. Goetz CG, Pappert EJ. Trauma and movement disorders. Neurol Clin 1992; 10: 907–919.PubMedGoogle Scholar
  7. Goldman MS, Kelly PJ. Symptomatic and functional outcome of stereotactic ventralis lateralis thalamotomy for intention tremor. J Neurosurg 1992; 77: 223–229.PubMedCrossRefGoogle Scholar
  8. Goldman S, Ahlskog JE. Posttraumatic cervical dystonia. Mayo Clin Proc 1993; 68: 443–448.PubMedCrossRefGoogle Scholar
  9. Krauss JK, Trankle R, Kopp KH. Post-traumatic movement disorders in survivors of severe head injury. Neurology 1996; 47: 1488–1492.PubMedCrossRefGoogle Scholar
  10. Lee MS, Rinne JO, Ceballos-Baumann A, Thompson PD, Marsden CD. Dystonia after head trauma. Neurology 1994; 44: 1374–1378.PubMedCrossRefGoogle Scholar
  11. Louis ED, Lynch T, Ford B, Greene P, Bressman SB, Fahn S. Delayed-onset cerebellar syndrome. Arch Neurol 1996; 53: 450–454.PubMedCrossRefGoogle Scholar
  12. Pettigrew LC, Jankovic J. Hemidystonia: a report of 22 patients and a review of the literature. J Neurol Neurosurg Psychiatry 1985; 48: 650–657.PubMedCrossRefGoogle Scholar
  13. Ribbers G, Geurts AC, Mulder T. The reflex sympathetic dystrophy syndrome: a review with special reference to chronic pain and motor impairments. Int J Rehabil Res 1995; 18: 277–295.PubMedCrossRefGoogle Scholar
  14. Schott GD. The relationship of peripheral trauma and pain to dystonia. J Neurol Neurosurg Psychiatry 1985; 48: 698–701.PubMedCrossRefGoogle Scholar
  15. Truong DD, Dubinsky R, Hermanowicz N, Olson WL, Silverman B, Koller WC. Posttraumatic torticollis. Arch Neurol 1991; 48: 221–223. Google Scholar
  16. Turjanski N, Lees AJ, Brooks DJ. Dopaminergic function in patients with posttraumatic parkinsonism: an 18F-dopa PET study. Neurology 1997; 49: 183–189.PubMedCrossRefGoogle Scholar
  17. Williams DB, Annegers JF, Kokmen E, O’Brien PC, Kurland LT. Brain injury and neurologic sequelae: a cohort study of dementia, parkinsonism, and amyotrophic lateral sclerosis. Neurology 1991; 41: 1554 1557.Google Scholar

Copyright information

© Springer Science+Business Media New York 2000

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  • Sotirios A. Parashos

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