Scherokman B, Husain F, Cuetter A, Jabbari B, Maniglia E
Arch Neurol. 1986 Aug;43(8):830-2. doi: 10.1001/archneur.1986.00520080068025.
We studied four patients with distal, action-induced involuntary postures of the hand that could be considered focal dystonia. All four patients had electrophysiologic findings consistent with peripheral nervous system lesions (pronator teres syndrome, radial nerve palsy, lower brachial plexus lesion, or median nerve lesion). With varying success, patients were treated with carbamazepine, trihexyphenidyl, methocarbamol, and wrist splinting. We wish to emphasize that peripheral entrapment and brachial plexopathy should be added to the causes of secondary dystonias.
我们研究了4例手部远端、动作诱发的不自主姿势患者，这些姿势可被视为局灶性肌张力障碍。所有4例患者的电生理检查结果均与周围神经系统病变（旋前圆肌综合征、桡神经麻痹、下臂丛神经损伤或正中神经损伤）一致。患者接受了卡马西平、苯海索、美索巴莫治疗以及佩戴腕部夹板，疗效各异。我们希望强调，周围神经卡压和臂丛神经病变应被纳入继发性肌张力障碍的病因之中。
