Writer’s cramp

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

Writer’s cramp. This is dystonia that manifests with dystonic posturing of the index finger on writing. Fully referenced neurology checklist.

Clinical features

  • This is dystonia that manifests with dystonic posturing of the index finger on writing
  • The subject grips the pen tightly with all the fingers

Types

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Proposed pathophysiological mechanisms

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Risk factors

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Assessment scales

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Treatment

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Synonym

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References

  1. Sadnicka A, Kassavetis P, Pareés I, Meppelink AM, Butler K, Edwards M. Task-specific dystonia: pathophysiology and management. JNNP 2016; 87:968-974. 
  2. Sheehy MP, Marsden CD. Writers' cramp-a focal dystonia. Brain 1982; 105:461-480.
  3. Zeuner KE, Peller M, Knutzen A, et al. How to assess motor impairment in writer's cramp. Mov Disord 2007; 22:1102-1109.
  4. Odergren T, Iwasaki N, Borg J, Forssberg H. Impaired sensory-motor integration during grasping in writer's cramp. Brain 1996; 119:569-583.
  5. Kristeva R, Chakarov V, Losch F, Hummel S, Popa T, Schulte-Mönting J. Electroencephalographic spectral power in writer's cramp patients: evidence for motor cortex malfunctioning during the cramp. Neuroimage 2005; 27:706-714.
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