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Trauma and movement disorders.

C G Goetz1, E J Pappert

  • 1Department of Neurological Sciences, Rush University, Rush-Presbyterian St. Luke's Medical Center, Chicago, Illinois.

Neurologic Clinics
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

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Traumatic injuries can rarely cause movement disorders, especially when symptoms appear soon after injury and show neurological damage. Parkinson's disease, a common movement disorder, is not believed to be caused by trauma.

Area of Science:

  • Neurology
  • Neurotraumatology
  • Movement Disorders

Background:

  • Trauma is occasionally linked to movement disorders, but such cases require strong evidence.
  • Establishing a causal link necessitates temporal association, neurological damage signs, and neuroimaging evidence of central nervous system (CNS) lesions.
  • The basal ganglia's dysfunction underlies movement disorders, and peripheral or cortical trauma might indirectly affect its function.

Purpose of the Study:

  • To examine the relationship between trauma and the development of movement disorders.
  • To outline the criteria for substantiating trauma-induced movement disorders.
  • To discuss the potential pathophysiological mechanisms linking trauma to movement disorders, excluding Parkinson's disease.

Main Methods:

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  • Literature review and case study analysis were implicitly used to gather evidence on trauma-related movement disorders.
  • Analysis of clinical presentation, temporal association with trauma, and neuroimaging findings were key evaluation components.
  • Pathophysiological mechanisms involving basal ganglia dysfunction were explored theoretically.

    • Main Results:

    • Cases of trauma-induced movement disorders are uncommon and require rigorous substantiation.
    • Evidence suggests that trauma can indirectly influence basal ganglia function, potentially leading to movement disorders.
    • Parkinson's disease, a prominent movement disorder, is not considered to be caused by traumatic events.

    Conclusions:

    • A definitive link between trauma and movement disorders requires specific clinical and radiological evidence.
    • Indirect alterations in basal ganglia function due to traumatic lesions may contribute to movement disorders.
    • Trauma is not implicated as a cause of Parkinson's disease.