MovDisordV3, Main, Exploration, bibRecord, 003604

Adult‐onset primary lower limb dystonia

Identifieur interne : 003604 ( Main/Exploration ); précédent : 003603; suivant : 003605

Adult‐onset primary lower limb dystonia

Auteurs : Susanne A. Schneider [Royaume-Uni] ; Mark J. Edwards [Royaume-Uni] ; Stephen E. Grill [États-Unis] ; Suzanne Goldstein [États-Unis] ; Su Kanchana [États-Unis] ; Niall P. Quinn [Royaume-Uni] ; Kailash P. Bhatia [Royaume-Uni] ; Mark Hallett [États-Unis] ; Stephen G. Reich [États-Unis]

Source :

Movement Disorders [ 0885-3185 ] ; 2006-06-06.

RBID : ISTEX:7F95EB3F20B1E74BDFFCA273A09A381564A8A01F

Descripteurs français

Pascal (Inist)
- Dystonie, Membre inférieur, Parkinsonisme, Pied, Système nerveux pathologie.

English descriptors

KwdEn :
- Adult, Age of Onset, Aged, Dystonia, Dystonia (physiopathology), Female, Foot, Foot Diseases (physiopathology), Humans, Leg, Lower limb, Male, Middle Aged, Nervous system diseases, Parkinsonism, Posture, Walking (physiology), dystonia, foot dystonia, parkinsonism.
MESH :
- physiology : Walking.
- physiopathology : Dystonia, Foot Diseases.
- Adult, Age of Onset, Aged, Female, Humans, Leg, Male, Middle Aged, Posture.

Abstract

The lower extremity is affected infrequently in adult‐onset primary dystonia in contrast to childhood‐onset dystonia, which typically begins in the foot. When dystonia affects the foot in an adult, it is usually on a secondary basis. We present findings on 17 patients (11 women, 6 men; average age of onset 48.4 years; average time to diagnosis 2.7 years) with adult‐onset primary foot dystonia. Prior to diagnosis, most patients underwent extensive testing and treatment, including unnecessary surgeries. Only the left lower extremity was involved in 8 patients, only the right in 7, and both in 2. The most common patterns were plantar flexion of all toes and inversion of the foot, typically activated with standing or walking. Only 2 patients had dystonia elsewhere. There was a family history of possible dystonia in 2 patients. One of five tested for DYT1 was positive, in the absence of a family history. One of eight patients treated with levodopa experienced mild improvement. Six of eight treated with botulinum toxin improved. No patient has been observed to have a secondary cause of dystonia. The prognosis, with regard to progression or spread to other body parts, has been favorable. Although uncommon, foot dystonia on a primary basis, not due to DYT1, can begin in adulthood. In this series of patients, the diagnosis was often not recognized, leading to extensive and unnecessary testing and treatment and emphasizing the need for wider recognition. © 2006 Movement Disorder Society

Url:

https://api.istex.fr/document/7F95EB3F20B1E74BDFFCA273A09A381564A8A01F/fulltext/pdf

DOI: 10.1002/mds.20794

Affiliations:

Le document en format XML

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<author><name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J." last="Edwards">Mark J. Edwards</name>
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<author><name sortKey="Grill, Stephen E" sort="Grill, Stephen E" uniqKey="Grill S" first="Stephen E." last="Grill">Stephen E. Grill</name>
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<author><name sortKey="Goldstein, Suzanne" sort="Goldstein, Suzanne" uniqKey="Goldstein S" first="Suzanne" last="Goldstein">Suzanne Goldstein</name>
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<author><name sortKey="Kanchana, Su" sort="Kanchana, Su" uniqKey="Kanchana S" first="Su" last="Kanchana">Su Kanchana</name>
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<author><name sortKey="Quinn, Niall P" sort="Quinn, Niall P" uniqKey="Quinn N" first="Niall P." last="Quinn">Niall P. Quinn</name>
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<author><name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P." last="Bhatia">Kailash P. Bhatia</name>
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<term>Dystonia (physiopathology)</term>
<term>Female</term>
<term>Foot</term>
<term>Foot Diseases (physiopathology)</term>
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<term>Leg</term>
<term>Lower limb</term>
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<term>Nervous system diseases</term>
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<front><div type="abstract" xml:lang="en">The lower extremity is affected infrequently in adult‐onset primary dystonia in contrast to childhood‐onset dystonia, which typically begins in the foot. When dystonia affects the foot in an adult, it is usually on a secondary basis. We present findings on 17 patients (11 women, 6 men; average age of onset 48.4 years; average time to diagnosis 2.7 years) with adult‐onset primary foot dystonia. Prior to diagnosis, most patients underwent extensive testing and treatment, including unnecessary surgeries. Only the left lower extremity was involved in 8 patients, only the right in 7, and both in 2. The most common patterns were plantar flexion of all toes and inversion of the foot, typically activated with standing or walking. Only 2 patients had dystonia elsewhere. There was a family history of possible dystonia in 2 patients. One of five tested for DYT1 was positive, in the absence of a family history. One of eight patients treated with levodopa experienced mild improvement. Six of eight treated with botulinum toxin improved. No patient has been observed to have a secondary cause of dystonia. The prognosis, with regard to progression or spread to other body parts, has been favorable. Although uncommon, foot dystonia on a primary basis, not due to DYT1, can begin in adulthood. In this series of patients, the diagnosis was often not recognized, leading to extensive and unnecessary testing and treatment and emphasizing the need for wider recognition. © 2006 Movement Disorder Society</div>
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<tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Schneider, Susanne A" sort="Schneider, Susanne A" uniqKey="Schneider S" first="Susanne A." last="Schneider">Susanne A. Schneider</name>
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<name sortKey="Kanchana, Su" sort="Kanchana, Su" uniqKey="Kanchana S" first="Su" last="Kanchana">Su Kanchana</name>
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Movement Disorders (revue)

Adult‐onset primary lower limb dystonia

Adult‐onset primary lower limb dystonia

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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