Movement Disorders (revue)

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Atypical and typical cranial dystonia following dental procedures

Identifieur interne : 001961 ( Istex/Corpus ); précédent : 001960; suivant : 001962

Atypical and typical cranial dystonia following dental procedures

Auteurs : Anette Schrag ; Kailash P. Bhatia ; Niall P. Quinn ; C. David Marsden

Source :

RBID : ISTEX:6C4F21298841363E74A78B8CD1954D699ED1162D

English descriptors

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:6C4F21298841363E74A78B8CD1954D699ED1162D

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<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>
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<p>Deceased September 29, 1998.</p>
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<title>Cranial Dystonia Following Dental Procedures</title>
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<title>Atypical and typical cranial dystonia following dental procedures</title>
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<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>
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<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>
<description>Correspondence: Department of Clinical Neurology, Institute of Neurology, Queen Square, London WC1N 3BG, U.K.</description>
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<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>
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<name type="personal">
<namePart type="given">C. David</namePart>
<namePart type="family">Marsden</namePart>
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<affiliation>Department of Clinical Neurology, Institute of Neurology, Queen Square, University College, London, U.K.</affiliation>
<description>Deceased September 29, 1998.</description>
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<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>
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<genre>Keywords</genre>
<topic>Cranial dystonia</topic>
<topic>Atypical</topic>
<topic>Dental</topic>
<topic>Trauma</topic>
<topic>Peripheral</topic>
<topic>Pain</topic>
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<title>Movement Disorders</title>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>1999</date>
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<caption>vol.</caption>
<number>14</number>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 1999 Movement Disorder Society</accessCondition>
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