Box 243 Classification of hyperkinetic disorders

• Chorea/athetosis/hemiballism

• Tics that the correlation between markedly hypertonic muscles and pain in those muscles is weak, rather than on any positive evidence of central sensory disturbance.

Neuropathic pain may undoubtedly occur if sensory pathways are damaged, in which case clinical evidence of such damage should be apparent. Certainly, dyskinesia giving rise to abnormal mechanical stress on the axial skeleton may cause radicular pain. In a study of cervical dystonia, Jancovic et al.35 reported evidence of secondary radiculopathy in 32 percent of their patients.

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