Presentation
A further clue may be enlargement of the liver and spleen (present in about one 30–90% of cases) 11, 21 and, in children, neonatal jaundice (present in half of the patients). [e-jmd.org]
He has been the Editor in Chief, JAMA Neurology (1997- present) and a member of the Editorial Board of JAMA (1997-present). [books.google.com]
Mitochondrial disorders such as LHON may present with dystonia. [neuroweb.us]
Adult-onset focal dystonias : presentation and treatment options [4]. Adult-onset re-emergent stuttering as a presentation of Parkinson's disease [5]. [wikigenes.org]
The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Entire Body System
- Weakness
Prominent pharyngeal weakness and spasticity with difficulty of speech and swallowing. Horizontal and vertical nystagmus, loss of fast saccadic eye movements and impairment of upward gaze. Peripheral neuropathy may occur. [neuroweb.us]
There is a risk of temporary paralysis of the muscles being injected or the leaking of the toxin into adjacent muscle groups, causing weakness or paralysis in them. [ipfs.io]
After injection into a muscle, the action of botulinum toxin is to interrupt nerve messages to the muscle, preventing the release of the neurotransmitter acetylcholine, which stimulates muscular contractions, and giving rise to weakness of that muscle [rarediseases.org]
Gastrointestinal
- Nausea
The clinical features are those of meningoencephalomyelitis and include nonspecific prodromal stage, followed by headaches, nausea, vomiting, behavioral changes, altered state of consciousness and often seizures. [neuroweb.us]
- Vomiting
Propionic acidemia : This autosomal recessive disorder presents in adulthood with chorea, dementia, seizures and episodes of recurrent vomiting (ketosis and acidosis). [neuroweb.us]
Musculoskeletal
- Myopathy
Adult-onset acid maltase deficiency is an inherited lysosomal skeletal-muscle disease characterized by progressive myopathy and respiratory failure, for which there is no known therapy [25]. [wikigenes.org]
Neurologic
- Myoclonus
Surprisingly, pain is not very common in dystonia except in cervical dystonia, in which up to 75% of patients experienced pain in one study. 5 Dystonia can present with tremor (dystonic tremor) or myoclonus (dystonia–myoclonus). [neupsykey.com]
The phenomenology of these disorders is quite variable encompassing chorea, tremor, dystonia, myoclonus, tics, other dyskinesias, jerks and shakes. [books.google.com]
Secondary Dystonia Myoclonus Dystonia, characterized by variable combinations of dystonia and myoclonus (marked, rapid, lightning-like muscle movements), with onset in childhood or adolescence. [dystonia-parkinson.org]
[…] dystonia and parkinsonism and at autopsy, severe depigmentation (hypomelanization) of the large neurons of the substantia nigra and the locus ceruleus DYT-15 18p11 dystonia 15, myoclonic Autosomal Dominant Tremor or rapid jerky movements resembling myoclonus [cmdg.org]
[DOI] [Details] O'Riordan S, Ozelius LJ, de Carvalho Aguiar P, Hutchinson M, King M, Lynch T (2004) 'Inherited myoclonus-dystonia and epilepsy: further evidence of an association?'. Movement Disorders, 19 (12):1456-1459. [ucd.ie]
Treatment
Specifically written to aid understanding and treatment of a wide range of movement disorders, this textbook includes a useful section covering miscellaneous causes of disordered movement, which are routinely encountered by neurologists. [books.google.com]
The injections are not a treatment for the disease, but are a means to control its symptoms. [6] A fourth option in the treatment for the symptoms of torsion dystonia is surgery. [en.wikipedia.org]
Treatment Despite the paucity of knowledge about causes of dystonia, the treatment of this condition has markedly improved, largely as a result of application of deep brain stimulation (BTX). [bcm.edu]
Various treatments focus on sedating brain functions or blocking nerve communications with the muscles via drugs, neuro-suppression, or denervation. All current treatments have negative side-effects and risks. [ipfs.io]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Prognosis
Adult onset IGE shares many features with "classical" IGE, including EEG findings and prognosis, and is likely to represent a genetic epilepsy [31]. [wikigenes.org]
The prognosis is usually bad with survival rates less than a few years after onset. [neuroweb.us]
Etiology
Etiology DYT6 is caused by mutations in the THAP1 gene (on chromosome 8). Genetic counseling DYT6 is transmitted as an autosomal dominant trait. The documents contained in this web site are presented for information purposes only. [orpha.net]
[…] the head, neck, and tongue and often occurs as an adverse effect of a medication. dystonia Neurology Involuntary, often acute movement and prolonged contraction of one or more muscles, resulting in twisting body motions, tremor, and abnormal posture Etiology [medical-dictionary.thefreedictionary.com]
Secondary dystonia includes a heterogenous group of etiologies including inherited (with and without brain degeneration) and acquired neurologic disorders. [emedicine.medscape.com]
By etiology Primary (idiopathic) dystonia: may be familial ( Table 5.2 ) 7–30 or sporadic. In the pure dystonic syndromes, dystonia is the main and only clinical sign (except for dystonic tremor). [neupsykey.com]
Notwithstanding a potential role of the NE in the etiology of torsion dystonia, it remains possible that the disease results from altered torsinA interactions with substrates in the peripheral ER. [pnas.org]
Epidemiology
Results : Crude annual prevalence of primary torsion dystonia estimated in this study is significantly lower than most reported epidemiological findings on prevalence. [savvysciencepublisher.com]
Summary Epidemiology It has been reported in two Amish-Mennonite families. Clinical description Adolescent and early-adult onset have been reported (average age of onset 19 years). The disease rarely progresses to generalized dystonia. [orpha.net]
Epidemiology Of Co-Morbid Psychiatric Disorders In Dystonia The Epidemiology of co-morbid psychiatric disorders is currently incompletely defined, as only small studies with highly selected patient groups have been performed. [ispub.com]
Epidemiology of focal and generalized dystonia in Rochester, Minnesota. Mov Disord 1988; 3: 188-194. 14. Giron L T, Koller W, Tanner C M. Epidemiology of dystonic disorders. En: Tsui J K, Calne D (eds). Hanbook of Dystonia. Nueva York. [svneurologia.org]
Relevant External Links for THAP1 Genetic Association Database (GAD) THAP1 Human Genome Epidemiology (HuGE) Navigator THAP1 Atlas of Genetics and Cytogenetics in Oncology and Haematology: THAP1 No data available for Genatlas for THAP1 Gene THAP1 is a [genecards.org]
Pathophysiology
But recognizing the phenomenology and understanding the pathophysiology are essential to ensure appropriate treatment. Hyperkinetic Movement Disorders provides a clinical pathway for effective diagnosis and management of these disorders. [books.google.com]
The pathophysiological basis of dystonias.Nat Rev Neurosci. 2008 Mar;9(3):222-34. Carbon M, Eidelberg D. Abnormal structure-function relationships in hereditary dystonia. Neuroscience. 2009 Nov 24;164(1):220-9. Epub 2009 Jan 1. Fuchs T, Ozelius LJ. [verywell.com]
Moreover, these findings may shed light on pathophysiological mechanisms underlying primary dystonias. [frontiersin.org]
The Pathophysiology Of Primary Dystonia. Brain 1998; 121:1195-1212. 2. Fahn S, Bressman SB, Marsden CD. Classsification Of Dystonia. Adv Neurol 1998; 78: 1-10. 3. Munchau A, Mathen D, Quinn NP, Marsden CD, Bhatia KP. [ispub.com]
Classification and pathophysiology of dystonia. Mov. Disord 1997;12:A3. 10. Marsden CD, Harrison MJ, Bundey S. Natural history of idiopathic torsion dystonia. Adv Neurol 1976;14:177-187. 11. Greene P, Kang U J, Fahn S. [svneurologia.org]
Prevention
This DNA vaccine has the potential to be a safe and effective therapy to prevent Alzheimer disease. He described Machado-Joseph disease (MJD), an autosomal dominant ataxia, with William Nyhan, M.D. Ph.D, in 1976, for the first time. [books.google.com]
Should antidepressant therapy worsen dystonia, changing to a different class of drug, or adding in an anticholinergic may, minimise/prevent exacerbation of dystonia. [ispub.com]
Pyridoxine should be added to prevent anemia. The most worrisome side effect is the precipitant worsening in a patient's neurologic status after initiating penicillamine therapy. [neuroweb.us]
After injection into a muscle, the action of botulinum toxin is to interrupt nerve messages to the muscle, preventing the release of the neurotransmitter acetylcholine, which stimulates muscular contractions, and giving rise to weakness of that muscle [rarediseases.org]
When mutated, its buffering capacity is greatly diminished, its ATPase activity reduced and its ER translocation prevented ( Granata and Warner, 2010 ). [frontiersin.org]