Schott G D
J Neurol Neurosurg Psychiatry. 1985 Jul;48(7):698-701. doi: 10.1136/jnnp.48.7.698.
Four patients are described who sustained comparatively minor peripheral injury, the affected area soon becoming the site of segmental dystonia. The movement disorder developed as the symptoms from the injury subsided, and except for the recent trauma, no cause for the dystonia was apparent; litigation was not an issue for any patient. It is suggested that on rare occasions peripheral trauma results in the development of dystonia. Since injury never involved the head, the role of the spinal dopaminergic system and the relevance of pain from the injury are discussed in considering possible underlying mechanisms.
本文描述了4例患者，他们遭受了相对较轻的外周损伤，受伤部位很快成为节段性肌张力障碍的发病部位。运动障碍在损伤症状消退时出现，除了近期的创伤外，肌张力障碍没有明显病因；诉讼对任何患者来说都不是问题。提示在外周创伤极少情况下会导致肌张力障碍的发生。由于损伤均未累及头部，在探讨可能的潜在机制时，讨论了脊髓多巴胺能系统的作用以及损伤疼痛的相关性。
