Delayed segmental axial dystonia of the trunk on standing after lumbar disk operation.

Details

Serval ID
serval:BIB_614E318D7D24
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Delayed segmental axial dystonia of the trunk on standing after lumbar disk operation.
Journal
Journal of the Neurological Sciences
Author(s)
Ghika J., Nater B., Henderson J., Bogousslavsky J., Regli F.
ISSN
0022-510X (Print)
ISSN-L
0022-510X
Publication state
Published
Issued date
1997
Volume
152
Number
2
Pages
193-197
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
We report four patients with various degrees of chronic, tonic, mildly painful, or non-painful, kyphoscolioses in orthostatism, which developed weeks, or months, after one or several laminectomies for lumbar disk hernia, in the absence of recurring radicular pain or acute lumbar pain. No family history or personal antecedent, of focal or generalized dystonia was found and the dystonia was not seen in any of the four patients pre-operatively, or during the immediate post-operative period. Only ill-defined lumbar 'discomfort', unlike their pre-operative lumbago, was reported by the patients, before and during the occurrence of the pathologic trunk posture on standing. Asymmetric lumbar muscle tonic contraction and hypertrophy was found on physical examination. In all patients, the kyphoscoliosis was maximal when standing, partially disappeared when seated, and completely when lying down. One patient responded well to clonazepam, but the other three showed no improvement with either clonazepam or local injections of botulinum toxin; L-dopa was ineffective in all cases, and trihexiphenidyle in three.
Keywords
Adult, Back Pain, Dystonia/etiology, Female, Follow-Up Studies, Humans, Intervertebral Disc Displacement/surgery, Kyphosis/etiology, Laminectomy/adverse effects, Lumbar Vertebrae, Male, Posture, Scoliosis/etiology
Pubmed
Web of science
Create date
25/01/2008 12:45
Last modification date
20/08/2019 15:18
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