Özet:

Purpose: Trauma, exposure to toxic substances, metabolic patient’s or chronic drug use history-free multifocal distonic patient was intended to be discussed in literary literature. The case presentation: Sixteen-two-year-old male sick in the right half of the neck was placed in our service with pain, sensitivity, both accumulation complaints in the right. In the story it was found that the pain in the right half of the neck was present for two years and that the right-hand collapse complaint began immediately after this pain, and that the left-hand collapse complaint was present for a year. In the general physical examination, a mass observed that was properly limited to the sensitive 1x1 cm size by touching the right half of the neck. In the neurological examination there was more noticeable both obtained distonium on the right, the tone increased in the form of rijidite in both upper extremities. In cervical MRG, a manifest C5-6, C6-7 in C5-6 was left paramedial protrusion, a cord pressure at C5-6 level. The result: The main thing that makes our situation interesting is the timely correlation between the pain in the right half of the neck and the appearance of distonine in the upper right limbs. Chronic pain can cause the hyperexitability of the spinal internorons, with the disinfection of the central pattern generator of the spinal cord in a quiet state, a distonial form of movement disorder.