Re: Article needed ASAP on paroxysmal dyskenisia following a TBI

[Guest guest]

DianeI found a couple references that might be helpful.I have had two clients who who developed movement disorders after head injury. One boy who was about to get botulism injections to kill of the muscles involved and the other who was written off by physicians and in a couple neuropsych evals as malingering.The Medical world is not friendly to folks with brain injuries.Hope you get the info you needhttp://journals.lww.com/neurosurgery/Abstract/2002/05000/Head_Injury_and_Posttraumatic_Movement_Disorders.3.aspx JC, Howes JL, Celinski MJ, Allman RG. Kinesigenic choreoathetosis due to brain injury. Can J Neurol Sci. 1987;14:626-628.On Jun 10, 2012, at 5:26 PM, Diane Stoler, Ed.D. wrote:paroxysmal dyskensia following TBI.

[Guest guest]

Hello Diane, Levine, author of "Waking the Tiger" and Scaer, author of "The Body Bears the Burden" speak a great deal about myoclonic tremors secondary to traumatic events. In fact, Somatic Experiencing, a treatment model created by Levine, is based on accessing the myoclonic tremors and facilitating them to go to completion. This philosophy is the basis for a great deal of the somatic based trauma therapies.Blessings, Marcus From:

"Diane Stoler, Ed.D." <diane@...> neuroguide ; ; brainm Sent: Sunday, June 10, 2012 4:25 PM Subject: Article needed ASAP on paroxysmal dyskenisia following a TBI

I was contacted from an attorney who is looking for an article on

paroxysmal dyskensia following TBI. ASAP

Can you help? The opposition say the client is

faking.

The wrote lawyer wrote "I am helping a lawyer prepare a case and we

have to establish a causal connection btw a mild TBI and her movement

disorder which left her wheel chair bound. I have a TBI from an

assault and can no longer try cases. I help attorneys working on this

type of case whenever I can. "

I wrote back to her the following:

Yes. When the brain is dysregulated from injury, it can

effect the motor area. I have a constant tremor from my TBI that the

doctors...

She wrote back that they need articles to support this. If anyone

knows of them, please forward it. Appreciate

whatever help you can.

Thanks

Diane

[Guest guest]

found the following on Google scholar:

Elsie Ferguson

Neurosurgery:

May 2002 - Volume 50 -

Issue 5 - pp 927-940

Topic Review

Head Injury and Posttraumatic Movement Disorders

Krauss, Joachim K. M.D.; Jankovic, ph M.D.

Abstract

WE REVIEW THE phenomenology, pathophysiology,

pathological anatomy, and therapy of posttraumatic movement

disorders with special emphasis on neurosurgical treatment

options. We also explore possible links between craniocerebral

trauma and parkinsonism. The cause-effect relationship between

head injury and subsequent movement disorder is not fully

appreciated. This may be related partially to the delayed

appearance of the movement disorder. Movement disorders after

severe head injury have been reported in 13 to 66% of

patients. Although movement disorders after mild or moderate

head injury are frequently transient and, in general, do not

result in additional disability, kinetic tremors and dystonia

may be a source of marked disability in survivors of severe

head injury. Functional stereotactic surgery provides

long-term symptomatic and functional benefits in the majority

of patients. Thalamic radiofrequency lesioning, although

beneficial in some patients, frequently is associated with

side effects such as increased dysarthria or gait disturbance,

particularly in patients with kinetic tremor secondary to

diffuse axonal injury. Deep brain stimulation is used

increasingly as an option in such patients. It remains unclear

whether pallidal or thalamic targets are more beneficial for

treatment of posttraumatic dystonia. Trauma to the central

nervous system is an important causative factor in a variety

of movement disorders. The mediation of the effects of trauma

and the pathophysiology of the development of posttraumatic

movement disorders require further study. Functional

stereotactic surgery should be considered in patients with

disabling movement disorders refractory to medical treatment.

Copyright © by the Congress of

Neurological Surgeons