Focal shoulder‐elevation dystonia
Identifieur interne : 004A69 ( Main/Exploration ); précédent : 004A68; suivant : 004A70Focal shoulder‐elevation dystonia
Auteurs : R. Alan Wright [États-Unis, Nouvelle-Zélande] ; J. Eric Ahlskog [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-07.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adolescent, Adult, Botulinum Toxins, Type A (administration & dosage), Botulinum toxin, Dystonia, Dystonic Disorders (diagnosis), Dystonic Disorders (drug therapy), Dystonic Disorders (etiology), Female, Focal lesion, Human, Humans, Hypertrophy, Injections, Intramuscular, Male, Middle Aged, Motion, Muscle, Skeletal (drug effects), Muscle, Skeletal (pathology), Post‐traumatic movement disorder, Risk Factors, Shoulder, Symptomatology.
- MESH :
- chemical , administration & dosage : Botulinum Toxins, Type A.
- diagnosis : Dystonic Disorders.
- drug effects : Muscle, Skeletal.
- drug therapy : Dystonic Disorders.
- etiology : Dystonic Disorders.
- pathology : Muscle, Skeletal.
- Adolescent, Adult, Female, Humans, Hypertrophy, Injections, Intramuscular, Male, Middle Aged, Risk Factors, Shoulder.
Abstract
We describe 13 cases of isolated focal dystonia of the shoulder with dystonic elevation but without clinically obvious cervical dystonia. All had significant trapezius muscle hypertrophy and limitation of shoulder movement causing substantial morbidity. In nine, this developed in the immediate aftermath of shoulder region trauma, most often a motor vehicle accident; clinically significant head trauma was not a factor. In two other cases this developed in the context of chronic heavy labor (suggesting possible overuse) and in one other it developed concurrent with the symptoms of discogenic cervical (C6‐7) radiculopathy. In the one remaining case, no precipitating factors were identified. Preexisting risk factors for dystonia, such as dopamine antagonist drug use, family history of dystonia, or prior brain injury, were not identified in these patients. Administration of medications used to treat dystonia was unsuccessful but botulinum toxin therapy was beneficial in all six treated cases.
Url:
DOI: 10.1002/1531-8257(200007)15:4<709::AID-MDS1017>3.0.CO;2-4
Affiliations:
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Le document en format XML
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<term>Botulinum toxin</term>
<term>Dystonia</term>
<term>Dystonic Disorders (diagnosis)</term>
<term>Dystonic Disorders (drug therapy)</term>
<term>Dystonic Disorders (etiology)</term>
<term>Female</term>
<term>Focal lesion</term>
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<term>Humans</term>
<term>Hypertrophy</term>
<term>Injections, Intramuscular</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Motion</term>
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<front><div type="abstract" xml:lang="en">We describe 13 cases of isolated focal dystonia of the shoulder with dystonic elevation but without clinically obvious cervical dystonia. All had significant trapezius muscle hypertrophy and limitation of shoulder movement causing substantial morbidity. In nine, this developed in the immediate aftermath of shoulder region trauma, most often a motor vehicle accident; clinically significant head trauma was not a factor. In two other cases this developed in the context of chronic heavy labor (suggesting possible overuse) and in one other it developed concurrent with the symptoms of discogenic cervical (C6‐7) radiculopathy. In the one remaining case, no precipitating factors were identified. Preexisting risk factors for dystonia, such as dopamine antagonist drug use, family history of dystonia, or prior brain injury, were not identified in these patients. Administration of medications used to treat dystonia was unsuccessful but botulinum toxin therapy was beneficial in all six treated cases.</div>
</front>
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<region><li>Minnesota</li>
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