“…Trauma to the PNS and CNS (Schott, 1985;Lee et al, 1994;Sankhla et al, 1998;Hollinger and Burgunder, 2000;Hummel and Lucking, 2001), drugs (Remington et al, 1990;Khanna et al, 1992;van Harten et al, 1998;van Harten et al, 1999), neurotoxins (Liu et al, 1992;He et al, 1995;Johnson et al, 2000), and stroke (Krystkowiak et al, 1998;Alarcon et al, 2004) are known causes of secondary dystonia. Environmental factors also correlate with the onset of primary adult-onset dystonias (Chen and Hallett, 1998;Schweinfurth et al, 2002;Defazio et al, 2003). Because DYT1 mutation carriers demonstrate variable phenotypes from primary generalized dystonia to adult-onset focal dystonia, DYT1 dystonia and sporadic adult-onset dystonia may share common environmental risk factors (Leube et al, 1999;Grundmann et al, 2003).…”