Post-traumatic cervical dystonia: a distinct entity?

Can J Neurol Sci. 2000 Feb;27(1):55-9. doi: 10.1017/s0317167100051982.

Abstract

Background/objective: The incidence of head/neck trauma preceding cervical dystonia (CD) has been reported to be 5-21%. There are few reports comparing the clinical characteristics of patients with and without a history of injury. Our aim was to compare the clinical characteristics of idiopathic CD (CD-I) to those with onset precipitated by trauma (CD-T).

Methods: We evaluated 114 consecutive patients with CD over a 9-month period. All patients were interviewed using a detailed questionnaire and had a neurological examination. Their clinical charts were also reviewed.

Results: Fourteen patients (12%) had mild head/neck injury within a year preceding the onset of CD. Between the two groups (CD-I and CD-T), the gender distribution (F:M of 3:2), family history of movement disorders (32% vs. 29%), the prevalence of gestes antagonistes (65% vs. 64%), and response to botulinum toxin were similar. There were non-specific trends, including an earlier age of onset (mean ages 43.3 vs. 37.6), higher prevalence of neck pain (86% vs. 100%), head tremor (67% vs. 79%), and dystonia in other body parts (23% vs. 36%) in CD-T.

Conclusions: CD-I and CD-T are clinically similar. Trauma may be a triggering factor in CD but this was only supported by non-significant trends in its earlier age of onset.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age of Onset
  • Anti-Dyskinesia Agents / therapeutic use
  • Botulinum Toxins / therapeutic use
  • Cervical Vertebrae / injuries
  • Chi-Square Distribution
  • Craniocerebral Trauma / complications
  • Dystonia / drug therapy
  • Dystonia / etiology
  • Dystonia / physiopathology*
  • Dystonia Musculorum Deformans / drug therapy
  • Dystonia Musculorum Deformans / etiology
  • Dystonia Musculorum Deformans / physiopathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neck Injuries / complications
  • Neck Muscles*
  • Neck Pain / drug therapy
  • Neck Pain / etiology
  • Neck Pain / physiopathology*
  • Pain Measurement
  • Surveys and Questionnaires

Substances

  • Anti-Dyskinesia Agents
  • Botulinum Toxins