Titre
Delayed segmental axial dystonia of the trunk on standing after lumbar disk operation.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Ghika, J.
Auteure/Auteur
Nater, B.
Auteure/Auteur
Henderson, J.
Auteure/Auteur
Bogousslavsky, J.
Auteure/Auteur
Regli, F.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0022-510X
Statut éditorial
Publié
Date de publication
1997
Volume
152
Numéro
2
Première page
193
Dernière page/numéro d’article
197
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
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.
PID Serval
serval:BIB_614E318D7D24
PMID
Date de création
2008-01-25T10:45:39.248Z
Date de création dans IRIS
2025-05-20T15:17:51Z