Peripheral injury-induced movement disorders

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Peripheral injury-induced movement disorders. The movement disorder sets in within a year of trauma: the median is 3 weeks. It especially affects females.

Clinical features

  • The movement disorder sets in within a year of trauma: the median is 3 weeks
  • It especially affects females
  • There is a family history of movement disorder in about 20% of cases
  • There are often associated pain and sensory disturbances
  • Nerve injury is confirmed in a quarter of cases
  • Complex regional pain syndrome (CRPS) occurs in more than a third of cases
  • Geste antagoniste is used by about a quarter of subjects
  • There is poor response to treatment e.g. Botulinum toxin

Types of movement disorders

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Predisposing factors

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Diagnostic criteria

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References

  1. van Rooijen DE, Geraedts EJ, Marinus J, Jankovic J, van Hilten JJ. Peripheral trauma and movement disorders: a systematic review of reported cases. JNNP 2011; 82:892-898. 
  2. Sankhla C, Lai EC, Jankovic J. Peripherally induced oromandibular dystonia. JNNP 1998; 65:722-728.
  3. Lenka A, Jankovic J. Peripherally-induced movement disorders: an update. Tremor Other Hyperkinet Mov (N Y) 2023; 13:8.
  4. Nobrega JC, Campos CR, Limongi JC, Teixeira MJ, Lin TY. Movement disorders induced by peripheral trauma. Arq Neuropsiquiatr 2002; 60:17-20.
  5. Yang X, Li H, Hallett M, Wan X, Wu Y. Scar dancing syndrome: peripheral trauma induced involuntary hyperkinesia around surgical incision. Mov Disord Clin Pract 2021; 8:267-272.
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