[Post-traumatic focal fixed dystonia of the shoulder: a distinctive syndrome with speculative mechanisms?].

Rev Neurol (Paris)

Service de neurologie, hôpital d'instruction des armées-Desgenettes, 108, boulevard Pinel, 69275 Lyon cedex 03, France.

Published: November 2009

Introduction: Whether post-traumatic focal fixed dystonia has a physiological or psychologically-mediated mechanism is discussed.

Case Report: We report the case of an active 22-year-old soldier with shoulder-fixed dystonia, eight months after a fall with minor right-acromioclavicular sprain.

Conclusion: Psychiatric examination and search of complex regional pain syndrome, radicular or accessory nerve damage, and genetic predisposition to dystonia are necessary for selecting a difficult treatment in these patients.

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http://dx.doi.org/10.1016/j.neurol.2008.10.025DOI Listing

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