The diagnostic challenge of primary dystonia: Evidence from misdiagnosis
Identifieur interne : 001966 ( Main/Exploration ); précédent : 001965; suivant : 001967The diagnostic challenge of primary dystonia: Evidence from misdiagnosis
Auteurs : Stefania Lalli [Italie] ; Alberto Albanese [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-08-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Databases, Factual (statistics & numerical data), Diagnosis, Diagnostic Errors, Dystonia, Dystonic Disorders (diagnosis), Dystonic Disorders (etiology), Dystonic Disorders (physiopathology), Humans, Nervous system diseases, Parkinson's disease, dystonia, essential tremor, myoclonus, psychogenic movement disorder, tic.
- MESH :
- diagnosis : Dystonic Disorders.
- etiology : Dystonic Disorders.
- physiopathology : Dystonic Disorders.
- statistics & numerical data : Databases, Factual.
- Diagnostic Errors, Humans.
Abstract
Although the understanding of dystonia has improved in recent years, primary dystonia is still insufficiently recognized and patients may not receive the correct diagnosis, leading to transient or permanent misclassification of their symptoms. We reviewed cases of primary dystonia who were at first misdiagnosed and analyzed the reasons why the correct diagnosis was first missed and later retained. Primary dystonia is misdiagnosed mainly, but not exclusively, in favor of other movement disorders: Parkinson's disease (PD), essential tremor, myoclonus, tics, psychogenic movement disorder (PMD), and even headache or scoliosis. Accounts are more numerous for PD and PMD, where diagnostic tests, such as DAT scan and psychological assessment, support clinical orientation. The correct diagnosis was achieved in all cases following the recognition of inconsistencies in the first judgment and of distinctive clinical features of dystonia. These clues have been collected here and assembled into a diagnostic epitome. © 2010 Movement Disorder Society
Url:
DOI: 10.1002/mds.23137
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-08-15">2010-08-15</date><biblScope unit="vol">25</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="1619">1619</biblScope><biblScope unit="page" to="1626">1626</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">90CBB6E868984EC63C4D23D1ABAE835CE83F09DF</idno><idno type="DOI">10.1002/mds.23137</idno><idno type="ArticleID">MDS23137</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Databases, Factual (statistics & numerical data)</term><term>Diagnosis</term><term>Diagnostic Errors</term><term>Dystonia</term><term>Dystonic Disorders (diagnosis)</term><term>Dystonic Disorders (etiology)</term><term>Dystonic Disorders (physiopathology)</term><term>Humans</term><term>Nervous system diseases</term><term>Parkinson's disease</term><term>dystonia</term><term>essential tremor</term><term>myoclonus</term><term>psychogenic movement disorder</term><term>tic</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dystonic Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Databases, Factual</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Diagnostic Errors</term><term>Humans</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Diagnostic</term><term>Dystonie</term><term>Pathologie du système nerveux</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although the understanding of dystonia has improved in recent years, primary dystonia is still insufficiently recognized and patients may not receive the correct diagnosis, leading to transient or permanent misclassification of their symptoms. We reviewed cases of primary dystonia who were at first misdiagnosed and analyzed the reasons why the correct diagnosis was first missed and later retained. Primary dystonia is misdiagnosed mainly, but not exclusively, in favor of other movement disorders: Parkinson's disease (PD), essential tremor, myoclonus, tics, psychogenic movement disorder (PMD), and even headache or scoliosis. Accounts are more numerous for PD and PMD, where diagnostic tests, such as DAT scan and psychological assessment, support clinical orientation. The correct diagnosis was achieved in all cases following the recognition of inconsistencies in the first judgment and of distinctive clinical features of dystonia. These clues have been collected here and assembled into a diagnostic epitome. © 2010 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Lalli, Stefania" sort="Lalli, Stefania" uniqKey="Lalli S" first="Stefania" last="Lalli">Stefania Lalli</name></noRegion><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name><name sortKey="Albanese, Alberto" sort="Albanese, Alberto" uniqKey="Albanese A" first="Alberto" last="Albanese">Alberto Albanese</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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