Dystonia: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Dystonia: clinical features. These manifest as sustained muscle contractions. Fully referenced neurology checklist.

Motor dystonic features

  • These manifest as sustained muscle contractions
  • They are predictable twisting and repetitive irregular movements
  • These result in abnormal posturing
  • They are often triggered or worsened by voluntary action
  • The movements may be painful

Related features

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Associated movement disorders

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Psychiatric features

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Cognitive features

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Respiratory features

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Drug-induced autonomic features

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Risk factors for adult onset dystonia

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References

  1. Phukan J, Albanese A, Gasser T, Warner T. Primary dystonia and dystonia-plus syndromes: clinical characteristics, diagnosis, and pathogenesis. Lancet Neurol 2011, 10:1074-1085.
  2. Dauer W. Inherited isolated dystonia: clinical genetics and gene function. Neurotherapeutics 2014; 11:807-816. 
  3. Camargos S, Cardoso F. Understanding dystonia: diagnostic issues and how to overcome them. Arq Neuropsiquiatr 2016; 74:921-936.
  4. Kuyper DJ, Parra V, Aerts S, Okun MS, Kluger BM. Nonmotor manifestations of dystonia: a systematic review. Mov Disord 2011; 26:1206-1217.
  5. Mehanna R, Jankovic J. Respiratory disorders associated with dystonia. Mov Disord 2012; 27:1816-1819.
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