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Br Med J (Clin Res Ed). 1984 Jan 21; 288(6412): 173–176.
PMCID: PMC1444500

Muscle spasms associated with Sudeck's atrophy after injury.


Four patients developed abnormal involuntary movements of a limb after injury. All subsequently developed sympathetic algodystrophy with Sudeck's atrophy and then abnormal muscle spasms or jerks of the affected limb, lasting years. Sympathetic block in three patients did not relieve the abnormal movements. Two patients obtained partial recovery spontaneously, but the other two required surgery for relief. The pathophysiology of this condition remains to be determined but the evidence suggests that it is a distinct, disabling clinical syndrome.

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Selected References

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  • Jannetta PJ, Abbasy M, Maroon JC, Ramos FM, Albin MS. Etiology and definitive microsurgical treatment of hemifacial spasm. Operative techniques and results in 47 patients. J Neurosurg. 1977 Sep;47(3):321–328. [PubMed]
  • Kaye AH, Adams CB. Hemifacial spasm: a long term follow-up of patients treated by posterior fossa surgery and facial nerve wrapping. J Neurol Neurosurg Psychiatry. 1981 Dec;44(12):1100–1103. [PMC free article] [PubMed]
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  • Said G, Bathien N. Myoclonies rythmées du quadriceps en relation avec un envahissement sarcomateux du nerf crural. Rev Neurol (Paris) 1977 Mar;133(3):191–198. [PubMed]

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