Evaluation and treatment of dystonia.

Journal Article (Journal Article;Review)

BACKGROUND: Dystonia is a neurologic disorder that interferes with normal motor control, causing development of bizarre postures and writhing, twisting movements. METHODS: The patient database of the Duke Movement Disorders Clinic was searched to identify and characterize all cases of dystonia evaluated during the 3 1/2 year period between July 1995 and December 1998. RESULTS: Of the 68 patients identified, 44% had focal dystonia, 10% segmental dystonia, 9% hemidystonia, 7% generalized dystonia, 4% multifocal dystonia, 12% psychogenic dystonia, and 9% tardive dystonia. The remainder had either paroxysmal or pseudodystonia. Twenty-five patients had improvement with botulinum toxin injections, 16 with anticholinergics, benzodiazepines and/or baclofen, and 2 with tetrabenazine. CONCLUSION: A variety of treatments can give symptomatic benefit in dystonia, but appropriate treatment requires proper diagnosis of the condition.

Full Text

Duke Authors

Cited Authors

  • Scott, BL

Published Date

  • August 2000

Published In

Volume / Issue

  • 93 / 8

Start / End Page

  • 746 - 751

PubMed ID

  • 10963502

International Standard Serial Number (ISSN)

  • 0038-4348


  • eng

Conference Location

  • United States