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Updated: Jan 5, 2026

Stimulating the Lip Motor Cortex with Transcranial Magnetic Stimulation
Published on: June 14, 2014
A Case of Peripherally Induced Task-Specific "Lipstick Dystonic Tremor"
Francesco Cavallieri1,2,3, Franco Valzania1, Laurent Vercueil4,5
1Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, IT.
Background:
Peripherally induced movement disorders (PIMDs) represent a rare and debated complication of peripheral trauma.
Phenomenology Shown:
We report a case of task-specific "lipstick" jerky dystonic tremor as a consequence of traumatic shoulder injury, successfully treated with EMG-guided botulinum toxin injections.
Educational Value:
This case expands the phenotypic spectrum of PIMDs, with a visual example of a task-specific dystonic tremor after peripheral trauma, and the efficacy of EMG-guided botulinum toxin treatment in the setting of posttraumatic dystonic tremor.
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