92 Torsion dystonia (dystonia musculorum deformans) Instruction Look at this patient. Salient features History • Perinatal anoxia, birth trauma or kernicterus • Family history • Drug history (neuroleptics) • The age of onset of clinical features (abnormal movements are usually present before the age of 5 years in birth anoxia). Examination • Dystonic movements of head and neck • Torticollis • Blepharospasm • Facial grimacing • Forced opening or closing of the mouth • Limbs may adopt abnormal but characteristic postures. Diagnosis This patient has torsion dystonia (lesion), which may be a result of birth anoxia (aetiology), and is confined to a wheelchair because of the disability (functional status). Questions What do you understand by the term dystonia? It implies a movement caused by a prolonged muscular contraction when a part of the body is thrown into spasm. Dystonia is defined as a movement disorder that causes sustained muscle contractions, repetitive twisting movements, and abnormal postures of the trunk, neck, face, or arms and legs (Marsden CD, Fahn S (eds.) Movement Disorders 2. London: Butterworths, 1987, pp. 332–58). Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Abnormal gait Dystrophia myotonica Erythema multiforme Anaemia Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Torsion dystonia (dystonia musculorum deformans) Full access? Get Clinical Tree
92 Torsion dystonia (dystonia musculorum deformans) Instruction Look at this patient. Salient features History • Perinatal anoxia, birth trauma or kernicterus • Family history • Drug history (neuroleptics) • The age of onset of clinical features (abnormal movements are usually present before the age of 5 years in birth anoxia). Examination • Dystonic movements of head and neck • Torticollis • Blepharospasm • Facial grimacing • Forced opening or closing of the mouth • Limbs may adopt abnormal but characteristic postures. Diagnosis This patient has torsion dystonia (lesion), which may be a result of birth anoxia (aetiology), and is confined to a wheelchair because of the disability (functional status). Questions What do you understand by the term dystonia? It implies a movement caused by a prolonged muscular contraction when a part of the body is thrown into spasm. Dystonia is defined as a movement disorder that causes sustained muscle contractions, repetitive twisting movements, and abnormal postures of the trunk, neck, face, or arms and legs (Marsden CD, Fahn S (eds.) Movement Disorders 2. London: Butterworths, 1987, pp. 332–58). Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Like this:Like Loading... Related Related posts: Abnormal gait Dystrophia myotonica Erythema multiforme Anaemia Stay updated, free articles. Join our Telegram channel Join Tags: 250 Cases in Clinical Medicine Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off on Torsion dystonia (dystonia musculorum deformans) Full access? Get Clinical Tree
