Movement Disorders Associated With Radiotherapy and Surgical Procedures

J Mov Disord. 2023 Jan;16(1):42-51. doi: 10.14802/jmd.22092. Epub 2023 Jan 12.

Abstract

Occasionally, movement disorders can occur following interventional procedures including but not limited to radiotherapy, dental procedures, and cardiac, cerebral and spinal surgeries. The majority of these disorders tend to be unexpected sequelae with variable phenomenology and latency, and they can often be far more disabling than the primary disease for which the procedure was performed. Owing to poor knowledge and awareness of the problem, delays in diagnosing the condition are common, as are misdiagnoses as functional movement disorders. This narrative review discusses the phenomenology, pathophysiology, and potential treatments of various movement disorders caused by interventional procedures such as radiotherapy and neurological and non-neurological surgeries and procedures.

Keywords: Cardiac surgery; Dystonia; Myoclonus; Parkinsonism; Radiation; Tremor.