A car driven by a 35 year old young woman was sideswiped by a dump truck on a busy expressway during rush hour. Although the impact was relatively minor, the woman sustained serious and disabling injuries. Her symptoms were similar in nature to those of a condition from which she had suffered in the past, but which was in remission, Before the accident, the woman had suffered from a rare neurological dysfunction known as focal dystonia which had not been related to trauma in the past. We worked closely with the woman’s neurologist to objectively establish that the motor vehicle accident with the dump truck caused an aggravation of the pre-existing neurological condition which had been in remission. As such, we were able to obtain a sizeable settlement for the young woman against the insurer of the dump truck.