Clinical Diagnosis and Management of Dystonia by Thomas T. Warner, Susan B. Bressman

By Thomas T. Warner, Susan B. Bressman

Of the typical flow issues, dystonia might be the main misunderstood and least clinically well-known, because the medical signs manifested in sufferers with quite a few dystonic problems are tremendous assorted. With chapters contributed through specialists from each side of the Atlantic, this textbook presents a finished assessment of the pathogenesis of dystonia, an summary of the type of a number of the dystonic problems, and a precis of the most recent advancements in remedy, together with rising pharmacological treatments and use of botulinum toxin.

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In addition, investigation of the population distribution of dystonia may provide clues to environmental determinants. These proposed risk factors must then be tested systematically in other populations, and biologic plausibility assessed in cooperation with laboratory scientists. To date, very little work has been done. However, if specific risk factors can be identified, this could improve our understanding of the pathogenesis of dystonia, and possibly provide strategies for prevention or treatment.

9 In two of the three families the phenotype resembled DYT1 dystonia and in the third family oromandibular dystonia and torticollis were the most prominent manifestations. The genetic locus is designated on the basis of the clinical description and no linkage to a chromosomal region has ever been identified. 10 The difficulty with the description is that in the dominant form there is often reduced penetrance and it is possible that that is what these families represent. Non-DYT1 primary torsion dystonia There remains a large group of early-onset PTD, especially among non-Jewish populations, that is not due to the TOR1A GAG deletion.

Muller J, Kiechl S, Wenning GK et al. The prevalence of primary dystonia in the general community. Neurology 2002; 59: 941–3. 7. Korczyn AD, Kahana E, Zilber N et al. Torsion dystonia in Israel. Ann Neurol 1980; 8: 387–91. 8. Nutt JG, Muenter MD, Melton LJ 3rd et al. Epidemiology of dystonia in Rochester, Minnesota. Adv Neurol 1988; 50: 361–5. 9. Erjanti HM, Martilla RJ, Rinne UK. The prevalence and incidence of cervical dystonia in south-western Finland. Mov Disord 1996; 11(Suppl 1): 215. 10. Li SC, Schoenberg BS, Wang CC et al.

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