Presentation
Recently, there has been a report of similar SCA 6 presentation but with a more progressive, disabling, and treatment resistant shoulder girdle and upper limb dystonia. 3 In the original description of SCA 6, the most common presenting feature was a progressive [jnnp.bmj.com]
Abstract We present a new computational model for the development of task-specific focal dystonia. The purpose of the model is to explain how altered sensory representations can lead to abnormal motor behavior. [ncbi.nlm.nih.gov]
She is board certified in Neurology (1997-present) and is a member of the American Academy of Neurology, the American Neurological Association and the Movement Disorder Society. [books.google.com]
A case of focal TSD of the right index finger treated with tenotomy and tendon transfer is presented here. [scopemed.org]
Entire Body System
- Swelling
However, possible complications include: infection in the neck short-term swelling of the neck a feeling of pins and needles in the neck occasional short episodes of neck pain [nhsinform.scot]
Neurologic
- Myoclonus
Myoclonic dystonia, better known as DTY11 or myoclonus-dystonia, is characterized by rapid, involuntary, jerking movements (myoclonus) with or without sustained dystonic postures. Myoclonus most often affects the neck, trunk and upper arms. [rarediseases.org]
Several other forms of primary dystonia are still under investigation but it appears that patients with Meige syndrome and myoclonus-dystonia gain also marked benefit. [raysahelian.com]
Autosomal dominant DYT9 1p21-13.8 Paroxysmal dystonia; paresthesias, diplopia; spastic paraplegia between attacks Autosomal dominant DYT10 Not known Paroxysmal dystonia-choreoathetosis precipitated by sudden movements Autosomal dominant DYT11 11q23 Myoclonus [emedicine.medscape.com]
- Bradykinesia
Parkinsonian symptoms include involuntary, rhythmic, quivering movements (tremors), bradykinesia, and postural instability. Seizures have been reported in some cases. [rarediseases.org]
- Tic Disorder
Most commonly, tics occur as part of Tourete syndrome which is a chronic motor and vocal tic disorder occurring with onset before the age of 18. [movementdisorderscenter.org]
Treatment
Botulinum toxin injections in the treatment of musician's dystonia. Neurology 2005; 64 (2) 341-343 22 Hallett M, Albanese A, Dressler D, et al. Evidence-based review and assessment of botulinum neurotoxin for the treatment of movement disorders. [thieme-connect.com]
It is written as an introduction to TSFHD by reviewing history, etiology and current theories, presentation and characteristics, diagnosis and treatment. [content.iospress.com]
Treatment Gowers, Hammond, and Oppenheim all described treatments they employed to aid their patients with writer's cramp. [tremorjournal.org]
Treatment Current treatment modalities for FTSD include oral medication, chemodenervation, surgery and physical therapy. [link.springer.com]
Both patients experienced treatment response with anticholinergic medication. DISCUSSION: Dystonia affecting speech via involvement of the pharyngeal musculature may be an unrecognized etiology of voice disorders. [ncbi.nlm.nih.gov]
Prognosis
Thalamic deep brain stimulation has been helpful in some patients. [ 13, 14 ] In exceptional cases, stereotactic nucleus ventro-oralis thalamotomy may be of value. [ 15 ] Prognosis Prognosis is variable, as is response to treatment. [patient.info]
Eventually, he diagnosed me and gave me the prognosis and options for treatment, my problem was revealed, but a resolution was not on the horizon... Prognosis My neurologist told me that there is no established cure for Task Specific Focal Dystonia. [hubpages.com]
The prognosis of runner's dystonia is very poor—of nineteen adequately-described cases in the literature, dystonic movements spread to activities beyond running and eventually led to significant problems with walking in all but three cases. [runningwritings.com]
Age of onset is an important feature in helping to determine the potential prognosis as well as the underlying cause of dystonia. [movementdisorderscenter.org]
[…] legible there types simple dmrf medical research foundation forearm usually appear person trying requires fine motor what about askdoctork with your during does happen precise reasons canada neurology medscape reference articles covering diagnosis staging prognosis [educalingo.com]
Etiology
DISCUSSION: Dystonia affecting speech via involvement of the pharyngeal musculature may be an unrecognized etiology of voice disorders. [ncbi.nlm.nih.gov]
Etiology The etiology of FTSD remains unknown, although recent lines of evidence suggest that both genetic and environmental factors are important [ 17 ]. [link.springer.com]
The etiology is poorly understood and scientific study of the yips has been minimal. [mayo.edu]
It is written as an introduction to TSFHD by reviewing history, etiology and current theories, presentation and characteristics, diagnosis and treatment. [content.iospress.com]
Epidemiology
Bötzel Department of Medical Informatics, Biometry and Epidemiology, Ludwig-Maximilians-Universität München: PD Dr. rer. nat. [aerzteblatt.de]
Among the various forms of focal dystonias, writer’s cramp is variably reported to be seen in 5% to 19% of cases (Duffey et al ., 1998 ; Epidemiological Study of Dystonia in Europe, 2000 ). [basicmedicalkey.com]
[…] effect of writer's cramp. [ 2 ] The main pathophysiological mechanisms explaining the disorganisation of the sensory-motor system appear to be loss of inhibition, aberrant neural plasticity, and defective learning-based sensory-motor integration. [ 3 ] Epidemiology [patient.info]
Part I: An Overview of Epidemiology, Pathophysiology And Medical Treatments. Journal of Hand Therapy, 11 (3), 72-78. Butler, K., & Rosenkranz, K. (2006a). Focal Hand Dystonia Affecting Musicians. [muijonathan.com]
In this review, we discuss the phenomenology and epidemiology of two of the most common forms of FTSD, writer’s cramp and musician’s dystonia. We then discuss emerging findings on the etiology, pathophysiology and treatment of FTSD. [link.springer.com]
Pathophysiology
Abstract In this review, we summarize recent advances in understanding the etiology, risk factors and pathophysiology of focal task specific dystonia (FTSD), movement disorders characterized by abnormal motor activation during the performance of specific [ncbi.nlm.nih.gov]
Pathophysiology The pathophysiology of FTSD has been linked to abnormalities in inhibition, plasticity, and motor networks. [link.springer.com]
Pathophysiology of writer's cramp. Hum Mov Sci. 2006 Oct;25(4-5):454-63. Epub 2006 Jul 21. Review. Jankovic J, Ashoori A. Movement disorders in musicians. Mov Disord. 2008 Oct 30;23(14):1957-65. doi: 10.1002/mds.22255. Review. [ghr.nlm.nih.gov]
They review updates on the classification, genetics, and pathophysiology of limb dystonia. The main clinical features of limb dystonia together with advances in the etiology, pathogenesis, and treatment of limb dystonia are also reviewed. [medlink.com]
Part I: An Overview of Epidemiology, Pathophysiology And Medical Treatments. Journal of Hand Therapy, 11 (3), 72-78. Butler, K., & Rosenkranz, K. (2006a). Focal Hand Dystonia Affecting Musicians. [muijonathan.com]
Prevention
Botulinum toxin (BoNT) prevents the release of the acetylcholine from peripheral nerves, inhibiting muscle contractions. BoNT is effective in relaxing overactive muscles. [clinicaltrials.gov]
[…] be prevented to a very large extent, if not entirely…The mode of writing is a matter of education, and prevention of the disease rests therefore not with doctors but with teachers. [tremorjournal.org]
For more information regarding musicians’ wellness and injury prevention, see Chapters 12 & 13 of The Musician’s Way. Dozens of photos are included that depict musicians employing desirable vs. undesirable postural habits. [musiciansway.com]
"What Every Guitarist Should Know: A Guide to the Prevention and Rehabilitation of Focal Dystonia" (PDF). Guitar Review. 133 : 2–9. Archived from the original (PDF) on 2007-10-20. Farias, Joaquin - Farias Technique Gorrie, Jon. [en.wikipedia.org]
This condition causes muscle cramps or spasms involving the lips, tongue, or jaw, which prevents normal positioning of the mouth around the instrument's mouthpiece. Musician's dystonia often occurs only when playing a particular instrument. [ghr.nlm.nih.gov]