1998
DOI: 10.1016/s0003-9993(98)90079-x
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An aggressive approach to limb dystonia: A case report

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Cited by 5 publications
(4 citation statements)
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“…It is most uncommon for patients with disabling neurological diseases affecting the limbs in a focal or multifocal fashion, such as Parkinson's disease, stroke, multiple sclerosis, or neuropathy, to resort to amputation. In fact, there are only 3 case reports of this occurring in the medical literature, 1 due to a paralyzed limb after stroke,17 1 due to painful contractured legs after spinal cord injury,18 and 1 in a child with secondary dystonia,19 However, we acknowledge that other cases may exist and have simply not been reported (and were alerted by an anonymous reviewer of this article that he/she had experience of 2 cases of amputation for osteomyelitis associated with abnormal postures due to corticobasal degeneration and Rassmussen's‐like encephalopathy).…”
Section: Discussionmentioning
confidence: 99%
“…It is most uncommon for patients with disabling neurological diseases affecting the limbs in a focal or multifocal fashion, such as Parkinson's disease, stroke, multiple sclerosis, or neuropathy, to resort to amputation. In fact, there are only 3 case reports of this occurring in the medical literature, 1 due to a paralyzed limb after stroke,17 1 due to painful contractured legs after spinal cord injury,18 and 1 in a child with secondary dystonia,19 However, we acknowledge that other cases may exist and have simply not been reported (and were alerted by an anonymous reviewer of this article that he/she had experience of 2 cases of amputation for osteomyelitis associated with abnormal postures due to corticobasal degeneration and Rassmussen's‐like encephalopathy).…”
Section: Discussionmentioning
confidence: 99%
“…39,44 The severity of symptoms and uncertainty regarding the diagnosis often lead to invasive procedures, including limb amputation, however with poor outcome. 44 Of note, seeking of limb amputation is only encountered extremely rarely in other dystonic conditions, 67,68 but has been reported in CRPS-I. [69][70][71] Thus, the possibility has been raised that patients with fixed dystonia and CRPS-I who seek limb amputation might have deficits in their body schema perception as part of the body identity integrity disorder spectrum.…”
Section: Functional Fixed Dystoniamentioning
confidence: 99%
“…The decision for amputation in a patient with this clinical history has been previously described. 10 This was based on many factors, including failure of all other treatments, disabling pain, and localized incapacitating posturing in an otherwise healthy, well-adjusted individual. This decision led to a rapid treatment, recovery, and resumption of all desired activities.…”
Section: Discussionmentioning
confidence: 99%
“…1,2 Trauma or closed head injury may result in dystonia. 10 Dystonia is the movement disorder most commonly associated with reflex sympathetic dystrophy. It also may occur with other neurologic diseases.…”
Section: Introductionmentioning
confidence: 99%