Cat eye syndrome and dystonia

Abstract

plantar responses flexor, and there were no abnormalities of sensation; there was no evidence of reflex sympathetic dystrophy. A full blood count was normal as was his serum CPK level, and EMG studies did not reveal any denervation of the shoulder girdle muscles. Magnetic resonance imaging of the brain and spinal cord were normal. He was treated with botulinus toxin injection into both splenii muscles with benefit.The mechanism of dystonia following electrical injuries remains unclear, but Fletcher et al.(3) postulated that trauma may trigger dystonia in genetically predisposed individuals. It has been suggested that the presence of severe pain, fixed postures with limitation of segmental movement, the presence of reflex sympathetic dystrophy and associated depression are more frequently seen in posttraumatic dystonia than in idiopathic torsion dystonia (4), and some of these features were present in our case.