Atypical and typical cranial dystonia following dental procedures
Identifieur interne : 003549 ( Istex/Corpus ); précédent : 003548; suivant : 003550Atypical and typical cranial dystonia following dental procedures
Auteurs : Anette Schrag ; Kailash P. Bhatia ; Niall P. Quinn ; C. David MarsdenSource :
- Movement Disorders [ 0885-3185 ] ; 1999-05.
English descriptors
- KwdEn :
- Blepharospasm, Botulinum toxin injections, Brain scan, Causal relationship, Cranial, Cranial dystonia, Dental intervention, Dental procedure, Dental procedures, Dental treatment, Dyskinesia, Dystonia, Facial, Facial dystonia, Family history, Focal dystonia, Idiopathic, Involuntary movements, Involuntary tongue movements, Limb syndrome, Movement disorder, Movement disorders, Neurol, Neurol neurosurg psychiatry, Neuroleptic drugs, Neurologic examination, Oromandibular, Oromandibular dyskinesias, Oromandibular dystonia, Peripheral injury, Peripheral trauma, Psychogenic, Right side, Spasm, Trauma, Tremor, Videotape, Videotape segment.
- Teeft :
- Blepharospasm, Botulinum toxin injections, Brain scan, Causal relationship, Cranial, Cranial dystonia, Dental intervention, Dental procedure, Dental procedures, Dental treatment, Dyskinesia, Dystonia, Facial, Facial dystonia, Family history, Focal dystonia, Idiopathic, Involuntary movements, Involuntary tongue movements, Limb syndrome, Movement disorder, Movement disorders, Neurol, Neurol neurosurg psychiatry, Neuroleptic drugs, Neurologic examination, Oromandibular, Oromandibular dyskinesias, Oromandibular dystonia, Peripheral injury, Peripheral trauma, Psychogenic, Right side, Spasm, Trauma, Tremor, Videotape, Videotape segment.
Abstract
It is generally recognized that focal dystonia of the limbs or cervical region and blepharospasm sometimes follow, and in these cases may be caused or triggered by, peripheral injury. However, the association between peripheral injury and lower cranial dystonia is rare. We report eight cases who developed cranial dystonia within hours to months following a dental procedure. One group of five cases, all women, developed atypical dystonia associated with painful paresthesias at the site of dystonia. Two of these five cases had fixed jaw‐deviating dystonia, whereas the remaining three had additional tremor and spread of their dystonia to involve the tongue in all three, and the lips and neck in two cases. These five patients are reminiscent of cases of limb causalgia–dystonia syndrome, which occurs after minor peripheral trauma and can spread. The remaining three cases developed more typical cranial dystonia following the dental procedure. There was no family history of dystonia or prior use of neuroleptics in any of the patients. The close association in time and location of the procedure and onset of symptoms suggests that the onset of the dystonia may have been caused by the dental intervention, but whether there is a causal relationship between the dental intervention and the development of the dyskinesias requires further epidemiologic studies.
Url:
DOI: 10.1002/1531-8257(199905)14:3<492::AID-MDS1018>3.0.CO;2-4
Links to Exploration step
ISTEX:6C4F21298841363E74A78B8CD1954D699ED1162DLe document en format XML
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Bhatia</name><affiliation><mods:affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Department of Clinical Neurology, Institute of Neurology, Queen Square, London WC1N 3BG, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Quinn, Niall P" sort="Quinn, Niall P" uniqKey="Quinn N" first="Niall P." last="Quinn">Niall P. Quinn</name><affiliation><mods:affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Marsden, C David" sort="Marsden, C David" uniqKey="Marsden C" first="C. David" last="Marsden">C. 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Bhatia</name><affiliation><mods:affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Department of Clinical Neurology, Institute of Neurology, Queen Square, London WC1N 3BG, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Quinn, Niall P" sort="Quinn, Niall P" uniqKey="Quinn N" first="Niall P." last="Quinn">Niall P. Quinn</name><affiliation><mods:affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</mods:affiliation></affiliation></author><author><name sortKey="Marsden, C David" sort="Marsden, C David" uniqKey="Marsden C" first="C. David" last="Marsden">C. 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However, the association between peripheral injury and lower cranial dystonia is rare. We report eight cases who developed cranial dystonia within hours to months following a dental procedure. One group of five cases, all women, developed atypical dystonia associated with painful paresthesias at the site of dystonia. Two of these five cases had fixed jaw‐deviating dystonia, whereas the remaining three had additional tremor and spread of their dystonia to involve the tongue in all three, and the lips and neck in two cases. These five patients are reminiscent of cases of limb causalgia–dystonia syndrome, which occurs after minor peripheral trauma and can spread. The remaining three cases developed more typical cranial dystonia following the dental procedure. There was no family history of dystonia or prior use of neuroleptics in any of the patients. The close association in time and location of the procedure and onset of symptoms suggests that the onset of the dystonia may have been caused by the dental intervention, but whether there is a causal relationship between the dental intervention and the development of the dyskinesias requires further epidemiologic studies.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>dystonia</json:string><json:string>oromandibular</json:string><json:string>blepharospasm</json:string><json:string>cranial</json:string><json:string>neurol</json:string><json:string>dyskinesia</json:string><json:string>idiopathic</json:string><json:string>peripheral trauma</json:string><json:string>videotape</json:string><json:string>dental procedure</json:string><json:string>family history</json:string><json:string>videotape segment</json:string><json:string>movement disorders</json:string><json:string>dental intervention</json:string><json:string>psychogenic</json:string><json:string>dental procedures</json:string><json:string>trauma</json:string><json:string>oromandibular dystonia</json:string><json:string>right side</json:string><json:string>cranial dystonia</json:string><json:string>tremor</json:string><json:string>oromandibular dyskinesias</json:string><json:string>neurol neurosurg psychiatry</json:string><json:string>dental treatment</json:string><json:string>neurologic examination</json:string><json:string>facial dystonia</json:string><json:string>spasm</json:string><json:string>brain scan</json:string><json:string>neuroleptic drugs</json:string><json:string>involuntary movements</json:string><json:string>limb syndrome</json:string><json:string>involuntary tongue movements</json:string><json:string>causal relationship</json:string><json:string>botulinum toxin injections</json:string><json:string>movement disorder</json:string><json:string>peripheral injury</json:string><json:string>focal dystonia</json:string><json:string>facial</json:string></teeft></keywords><author><json:item><name>Anette Schrag MD</name><affiliations><json:string>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</json:string></affiliations></json:item><json:item><name>Kailash P. Bhatia MD</name><affiliations><json:string>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</json:string><json:string>Correspondence address: Department of Clinical Neurology, Institute of Neurology, Queen Square, London WC1N 3BG, U.K.</json:string></affiliations></json:item><json:item><name>Niall P. Quinn MD</name><affiliations><json:string>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</json:string></affiliations></json:item><json:item><name>C. David Marsden DSc</name><affiliations><json:string>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Cranial dystonia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Atypical</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Dental</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Trauma</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Peripheral</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Pain</value></json:item></subject><articleId><json:string>MDS1018</json:string></articleId><arkIstex>ark:/67375/WNG-QHJFWH44-1</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>shortCommunication</json:string></originalGenre><abstract>It is generally recognized that focal dystonia of the limbs or cervical region and blepharospasm sometimes follow, and in these cases may be caused or triggered by, peripheral injury. However, the association between peripheral injury and lower cranial dystonia is rare. We report eight cases who developed cranial dystonia within hours to months following a dental procedure. One group of five cases, all women, developed atypical dystonia associated with painful paresthesias at the site of dystonia. Two of these five cases had fixed jaw‐deviating dystonia, whereas the remaining three had additional tremor and spread of their dystonia to involve the tongue in all three, and the lips and neck in two cases. These five patients are reminiscent of cases of limb causalgia–dystonia syndrome, which occurs after minor peripheral trauma and can spread. The remaining three cases developed more typical cranial dystonia following the dental procedure. There was no family history of dystonia or prior use of neuroleptics in any of the patients. The close association in time and location of the procedure and onset of symptoms suggests that the onset of the dystonia may have been caused by the dental intervention, but whether there is a causal relationship between the dental intervention and the development of the dyskinesias requires further epidemiologic studies.</abstract><qualityIndicators><score>7.916</score><pdfWordCount>3372</pdfWordCount><pdfCharCount>21004</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>612 x 792 pts (letter)</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>212</abstractWordCount><abstractCharCount>1368</abstractCharCount><keywordCount>6</keywordCount></qualityIndicators><title>Atypical and typical cranial dystonia following dental procedures</title><genre><json:string>brief-communication</json:string></genre><host><title>Movement Disorders</title><language><json:string>unknown</json:string></language><doi><json:string>10.1002/(ISSN)1531-8257</json:string></doi><issn><json:string>0885-3185</json:string></issn><eissn><json:string>1531-8257</json:string></eissn><publisherId><json:string>MDS</json:string></publisherId><volume>14</volume><issue>3</issue><pages><first>492</first><last>496</last><total>5</total></pages><genre><json:string>journal</json:string></genre><subject><json:item><value>Brief Report</value></json:item></subject></host><namedEntities><unitex><date><json:string>1986</json:string><json:string>1999</json:string><json:string>4</json:string></date><geogName></geogName><orgName><json:string>Department of Clinical Neurology, Institute of Neurology, Queen Square, London WC</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Kailash Bhatia</json:string><json:string>C. 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David</forename><surname>Marsden</surname><roleName type="degree">DSc</roleName></persName><affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.<address><country key="US"></country></address></affiliation><note type="foot">Deceased September 29, 1998.</note></author><idno type="istex">6C4F21298841363E74A78B8CD1954D699ED1162D</idno><idno type="ark">ark:/67375/WNG-QHJFWH44-1</idno><idno type="DOI">10.1002/1531-8257(199905)14:3<492::AID-MDS1018>3.0.CO;2-4</idno><idno type="unit">MDS1018</idno><idno type="toTypesetVersion">file:MDS.MDS1018.pdf</idno></analytic><monogr><title level="j" type="main">Movement Disorders</title><title level="j" type="alt">MOVEMENT DISORDERS</title><idno type="pISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><idno type="book-DOI">10.1002/(ISSN)1531-8257</idno><idno type="book-part-DOI">10.1002/1531-8257(199905)14:3<>1.0.CO;2-I</idno><idno type="product">MDS</idno><imprint><biblScope unit="vol">14</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="492">492</biblScope><biblScope unit="page" to="496">496</biblScope><biblScope unit="page-count">5</biblScope><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="1999-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><head>Abstract</head><p>It is generally recognized that focal dystonia of the limbs or cervical region and blepharospasm sometimes follow, and in these cases may be caused or triggered by, peripheral injury. However, the association between peripheral injury and lower cranial dystonia is rare. We report eight cases who developed cranial dystonia within hours to months following a dental procedure. One group of five cases, all women, developed atypical dystonia associated with painful paresthesias at the site of dystonia. Two of these five cases had fixed jaw‐deviating dystonia, whereas the remaining three had additional tremor and spread of their dystonia to involve the tongue in all three, and the lips and neck in two cases. These five patients are reminiscent of cases of limb causalgia–dystonia syndrome, which occurs after minor peripheral trauma and can spread. The remaining three cases developed more typical cranial dystonia following the dental procedure. There was no family history of dystonia or prior use of neuroleptics in any of the patients. The close association in time and location of the procedure and onset of symptoms suggests that the onset of the dystonia may have been caused by the dental intervention, but whether there is a causal relationship between the dental intervention and the development of the dyskinesias requires further epidemiologic studies.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="kwd1">Cranial dystonia</term><term xml:id="kwd2">Atypical</term><term xml:id="kwd3">Dental</term><term xml:id="kwd4">Trauma</term><term xml:id="kwd5">Peripheral</term><term xml:id="kwd6">Pain</term></keywords><keywords rend="articleCategory"><term>Brief Report</term></keywords><keywords rend="tocHeading1"><term>Brief Reports</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/6C4F21298841363E74A78B8CD1954D699ED1162D/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>John Wiley & Sons, Inc.</publisherName><publisherLoc>New York</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. Disord.</title></titleGroup></publicationMeta><publicationMeta level="part" position="30"><doi origin="wiley" registered="yes">10.1002/1531-8257(199905)14:3<>1.0.CO;2-I</doi><numberingGroup><numbering type="journalVolume" number="14">14</numbering><numbering type="journalIssue">3</numbering></numberingGroup><coverDate startDate="1999-05">May 1999</coverDate></publicationMeta><publicationMeta level="unit" type="shortCommunication" position="18" status="forIssue"><doi origin="wiley" registered="yes">10.1002/1531-8257(199905)14:3<492::AID-MDS1018>3.0.CO;2-4</doi><idGroup><id type="unit" value="MDS1018"></id></idGroup><countGroup><count type="pageTotal" number="5"></count></countGroup><titleGroup><title type="articleCategory">Brief Report</title><title type="tocHeading1">Brief Reports</title></titleGroup><copyright ownership="thirdParty">Copyright © 1999 Movement Disorder Society</copyright><eventGroup><event type="manuscriptReceived" date="1998-06-01"></event><event type="manuscriptRevised" date="1998-11-06"></event><event type="manuscriptAccepted" date="1999-01-26"></event><event type="firstOnline" date="2001-01-23"></event><event type="publishedOnlineFinalForm" date="2001-01-23"></event><event type="xmlConverted" agent="Converter:JWSART34_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-02"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-31"></event></eventGroup><numberingGroup><numbering type="pageFirst">492</numbering><numbering type="pageLast">496</numbering></numberingGroup><correspondenceTo>Department of Clinical Neurology, Institute of Neurology, Queen Square, London WC1N 3BG, U.K.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:MDS.MDS1018.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="1"></count><count type="referenceTotal" number="18"></count><count type="wordTotal" number="3303"></count></countGroup><titleGroup><title type="main" xml:lang="en">Atypical and typical cranial dystonia following dental procedures</title><title type="short" xml:lang="en">Cranial Dystonia Following Dental Procedures</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Anette</givenNames><familyName>Schrag</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Kailash P.</givenNames><familyName>Bhatia</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Niall P.</givenNames><familyName>Quinn</familyName><degrees>MD</degrees></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af1" noteRef="#fn1"><personName><givenNames>C. David</givenNames><familyName>Marsden</familyName><degrees>DSc</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Cranial dystonia</keyword><keyword xml:id="kwd2">Atypical</keyword><keyword xml:id="kwd3">Dental</keyword><keyword xml:id="kwd4">Trauma</keyword><keyword xml:id="kwd5">Peripheral</keyword><keyword xml:id="kwd6">Pain</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>It is generally recognized that focal dystonia of the limbs or cervical region and blepharospasm sometimes follow, and in these cases may be caused or triggered by, peripheral injury. However, the association between peripheral injury and lower cranial dystonia is rare. We report eight cases who developed cranial dystonia within hours to months following a dental procedure. One group of five cases, all women, developed atypical dystonia associated with painful paresthesias at the site of dystonia. Two of these five cases had fixed jaw‐deviating dystonia, whereas the remaining three had additional tremor and spread of their dystonia to involve the tongue in all three, and the lips and neck in two cases. These five patients are reminiscent of cases of limb causalgia–dystonia syndrome, which occurs after minor peripheral trauma and can spread. The remaining three cases developed more typical cranial dystonia following the dental procedure. There was no family history of dystonia or prior use of neuroleptics in any of the patients. The close association in time and location of the procedure and onset of symptoms suggests that the onset of the dystonia may have been caused by the dental intervention, but whether there is a causal relationship between the dental intervention and the development of the dyskinesias requires further epidemiologic studies.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Deceased September 29, 1998.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Atypical and typical cranial dystonia following dental procedures</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Cranial Dystonia Following Dental Procedures</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Atypical and typical cranial dystonia following dental procedures</title></titleInfo><name type="personal"><namePart type="given">Anette</namePart><namePart type="family">Schrag</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Kailash P.</namePart><namePart type="family">Bhatia</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</affiliation><affiliation>Correspondence address: Department of Clinical Neurology, Institute of Neurology, Queen Square, London WC1N 3BG, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Niall P.</namePart><namePart type="family">Quinn</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C. David</namePart><namePart type="family">Marsden</namePart><namePart type="termsOfAddress">DSc</namePart><affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</affiliation><description>Deceased September 29, 1998.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="brief-communication" displayLabel="shortCommunication" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-S9SX2MFS-0">brief-communication</genre><originInfo><publisher>John Wiley & Sons, Inc.</publisher><place><placeTerm type="text">New York</placeTerm></place><dateIssued encoding="w3cdtf">1999-05</dateIssued><dateCaptured encoding="w3cdtf">1998-06-01</dateCaptured><dateValid encoding="w3cdtf">1999-01-26</dateValid><copyrightDate encoding="w3cdtf">1999</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">1</extent><extent unit="references">18</extent><extent unit="words">3303</extent></physicalDescription><abstract lang="en">It is generally recognized that focal dystonia of the limbs or cervical region and blepharospasm sometimes follow, and in these cases may be caused or triggered by, peripheral injury. However, the association between peripheral injury and lower cranial dystonia is rare. We report eight cases who developed cranial dystonia within hours to months following a dental procedure. One group of five cases, all women, developed atypical dystonia associated with painful paresthesias at the site of dystonia. Two of these five cases had fixed jaw‐deviating dystonia, whereas the remaining three had additional tremor and spread of their dystonia to involve the tongue in all three, and the lips and neck in two cases. These five patients are reminiscent of cases of limb causalgia–dystonia syndrome, which occurs after minor peripheral trauma and can spread. The remaining three cases developed more typical cranial dystonia following the dental procedure. There was no family history of dystonia or prior use of neuroleptics in any of the patients. The close association in time and location of the procedure and onset of symptoms suggests that the onset of the dystonia may have been caused by the dental intervention, but whether there is a causal relationship between the dental intervention and the development of the dyskinesias requires further epidemiologic studies.</abstract><subject lang="en"><genre>keywords</genre><topic>Cranial dystonia</topic><topic>Atypical</topic><topic>Dental</topic><topic>Trauma</topic><topic>Peripheral</topic><topic>Pain</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. 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