Epidemiology and outcome of cervical dystonia (spasmodic torticollis) in Rochester, Minnesota
Identifieur interne : 001842 ( Istex/Corpus ); précédent : 001841; suivant : 001843Epidemiology and outcome of cervical dystonia (spasmodic torticollis) in Rochester, Minnesota
Auteurs : David W. Claypool ; Duane ; Duane M. Ilstrup ; L. Joseph Melton IiiSource :
- Movement Disorders [ 0885-3185 ] ; 1995-09.
English descriptors
Abstract
The natural history of cervical dystonia (spasmodic torticollis) was investigated in a population‐based study in Rochester, Minnesota. Eleven new cases were identified with onset during the 20‐year period 1960–1979. The overall incidence rate was 1.2 per 100,000 person‐years (95% confidence interval 0.5–1.9) with a female: male ratio of age‐adjusted incidence rates of 3.6:1. A unitary etiology was not apparent: injury antedated onset in four of the 11 patients, whereas six had documented thyroid disease and four had diabetes. A family history of movement disorder was recorded for only one subject. Only one of the cases would have been classified as moderate in severity; the others were mild. In follow‐up through 1993, progressive disability was noted in only two patients, and two others went into remission. Three cases of intracranial aneurysm were confirmed, two of which produced fatal subarachnoid hemorrhage. A third death was due to amyotrophic lateral sclerosis.
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DOI: 10.1002/mds.870100513
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Eleven new cases were identified with onset during the 20‐year period 1960–1979. The overall incidence rate was 1.2 per 100,000 person‐years (95% confidence interval 0.5–1.9) with a female: male ratio of age‐adjusted incidence rates of 3.6:1. A unitary etiology was not apparent: injury antedated onset in four of the 11 patients, whereas six had documented thyroid disease and four had diabetes. A family history of movement disorder was recorded for only one subject. Only one of the cases would have been classified as moderate in severity; the others were mild. In follow‐up through 1993, progressive disability was noted in only two patients, and two others went into remission. Three cases of intracranial aneurysm were confirmed, two of which produced fatal subarachnoid hemorrhage. A third death was due to amyotrophic lateral sclerosis.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>David W. Claypool</name><affiliations><json:string>Departments of Health Sciences Research, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.</json:string></affiliations></json:item><json:item><name>Dr. Duane</name><affiliations><json:string>Departments of Neurology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.</json:string></affiliations></json:item><json:item><name>Duane M. Ilstrup</name><affiliations><json:string>Departments of Health Sciences Research, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.</json:string></affiliations></json:item><json:item><name>L. 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Joseph</givenNames><familyName>Melton</familyName><nameSuffix>III</nameSuffix></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="US" type="organization"><unparsedAffiliation>Departments of Neurology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="US" type="organization"><unparsedAffiliation>Departments of Health Sciences Research, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Focal cervical dystonia</keyword><keyword xml:id="kwd2">Spasmodic torticollis</keyword><keyword xml:id="kwd3">Epidemiology</keyword><keyword xml:id="kwd4">Clinical course</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>The natural history of cervical dystonia (spasmodic torticollis) was investigated in a population‐based study in Rochester, Minnesota. Eleven new cases were identified with onset during the 20‐year period 1960–1979. The overall incidence rate was 1.2 per 100,000 person‐years (95% confidence interval 0.5–1.9) with a female: male ratio of age‐adjusted incidence rates of 3.6:1. A unitary etiology was not apparent: injury antedated onset in four of the 11 patients, whereas six had documented thyroid disease and four had diabetes. A family history of movement disorder was recorded for only one subject. Only one of the cases would have been classified as moderate in severity; the others were mild. In follow‐up through 1993, progressive disability was noted in only two patients, and two others went into remission. Three cases of intracranial aneurysm were confirmed, two of which produced fatal subarachnoid hemorrhage. 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Joseph</namePart><namePart type="family">Melton III</namePart><affiliation>Departments of Health Sciences Research, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">1995-09</dateIssued><dateValid encoding="w3cdtf">1995-03-09</dateValid><copyrightDate encoding="w3cdtf">1995</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">3</extent><extent unit="references">33</extent></physicalDescription><abstract lang="en">The natural history of cervical dystonia (spasmodic torticollis) was investigated in a population‐based study in Rochester, Minnesota. Eleven new cases were identified with onset during the 20‐year period 1960–1979. The overall incidence rate was 1.2 per 100,000 person‐years (95% confidence interval 0.5–1.9) with a female: male ratio of age‐adjusted incidence rates of 3.6:1. A unitary etiology was not apparent: injury antedated onset in four of the 11 patients, whereas six had documented thyroid disease and four had diabetes. A family history of movement disorder was recorded for only one subject. Only one of the cases would have been classified as moderate in severity; the others were mild. In follow‐up through 1993, progressive disability was noted in only two patients, and two others went into remission. Three cases of intracranial aneurysm were confirmed, two of which produced fatal subarachnoid hemorrhage. A third death was due to amyotrophic lateral sclerosis.</abstract><subject lang="en"><genre>Keywords</genre><topic>Focal cervical dystonia</topic><topic>Spasmodic torticollis</topic><topic>Epidemiology</topic><topic>Clinical course</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. 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