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Symptomatic Dystonia: Clinical Profile of 46 Brazilian Patients

Published online by Cambridge University Press:  18 September 2015

Henrique B. Ferraz  and
Luiz Augusto F. Andrade
Henrique B. Ferraz*
Affiliation:
Movement Disorders Division, Department of Neurology and Neurosurgery, Escola Paulista de Medicina, São Paulo, Brazil
Luiz Augusto F. Andrade
Affiliation:
Movement Disorders Division, Department of Neurology and Neurosurgery, Escola Paulista de Medicina, São Paulo, Brazil
*
Av. Dr. Altino Arantes, 669 Ap. 43, CEP 04042 Sao Paulo, Brazil
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Abstract:

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Dystonia is a syndrome characterized by sustained muscle contraction, provoking twisting and repeti-tive movements or abnormal postures. It may be classified according to etiology, as idiopathic or symptomatic. We studied 122 Brazilian patients with a dystonic syndrome. Of these, 46 (37.7%) had symptomatic dystonia. The most frequent cause was tardive dystonia (34.8%) followed by perinatal cerebral injury (30.4%). Other causes were stroke (13.0%), encephalitis (6.5%) and Wilson’s disease (4.3%). Cranial trauma, mitochondrial cytopathy and psychogenic, were the least frequent causes with one patient in each category. The etiology in two patients could not be established. Perinatal cerebral injury and postencephalitic dystonia were seen in the younger age group, while post-stroke and tardive dystonia were seen in the older age group.

Type
Articles
Information
Canadian Journal of Neurological Sciences , Volume 19 , Issue 4 , November 1992 , pp. 504 - 507
Copyright
Copyright © Canadian Neurological Sciences Federation 1992

References

REFERENCES

1.Fahn, S.Concept and classification of dystonia. Adv Neurol 1988; 50: 1–8.Google ScholarPubMed
2.Marsden, CD.Investigation of dystonia. Adv Neurol 1988; 50: 35–44.Google ScholarPubMed
3.Burke, RE, Fahn, S, Jankovic, J, et al. Tardive dystonia: late-onset and persistent dystonia caused by antipsychotic drugs. Neurology 1982; 32: 1335–1346.CrossRefGoogle ScholarPubMed
4.Yanagisawa, N, Goto, A, Narabayashi, H.Familial dystonia musculorum deformans and tremor. J Neurol Sci 1972; 16: 125–136.CrossRefGoogle ScholarPubMed
5.Baxter, DW, Lai, S.Essential tremor and dystonic syndromes. Adv Neurol 1979; 24: 373–377.Google Scholar
6.Gimenez-Roldan, S, Mateo, D, Bartolomé, P.Tardive dystonia and severe tardive dyskinesia. A comparison of risk factors and prognosis. Acta Psychiatr Scand 1985; 71: 488–494.CrossRefGoogle ScholarPubMed
7.Foley, J.The athetoid syndrome. A review of a personal series. J Neurol Neurosurg Psychiatry 1983; 46: 289–298.CrossRefGoogle ScholarPubMed
8.Burke, RE, Fahn, S, Gold, AP.Delayed-onset dystonia in patients with “static” encephalopathy. J Neurol Neurosurg Psychiatry 1980; 43: 789–797.CrossRefGoogle ScholarPubMed
9.Saint-Hilaire, M-H, Burke, RE, Fahn, S, et al. Delayed-onset dystonia following perinatal or childhood anoxia: natural history and treatment. Neurology 1988; 38 (Suppl 1): 130.Google Scholar
10.Grimes, JD, Hassan, MN, Quarrington, AM, et al. Delayed-onset posthemiplegic dystonia: CT demonstration of basal ganglia pathology. Neurology 1982; 32: 1033–1035.CrossRefGoogle ScholarPubMed
11.Obeso, JA, Vaamonde, J, Barraquer-Bordas, L.Delayed-onset dystonia. J Neurol Neurosurg Psychiatry 1985; 48: 1190–1191.CrossRefGoogle ScholarPubMed
12.Calne, DB, Lang, AE.Secondary dystonia. Adv Neurol 1988; 50: 9–33.Google ScholarPubMed
13.Koller, WC, Wong, JF, Lang, A.Post-traumatic movement disorders: a review. Mov Disord 1989; 4: 20–36.CrossRefGoogle Scholar
14.Pettigrew, LC, Jankovic, J.Hemidystonia: a report of 22 patients and a review of the literature. J Neurol Neurosurg Psychiatry 1985; 48: 650–657.CrossRefGoogle Scholar
15.Fahn, S, Williams, D, Reches, A, et al. Hysterical dystonia, a rare disorder: report of five documented cases. Neurology 1983; 33 (Suppl 2): 161.Google Scholar
16.Aicardi, J, Gordon, N, Hagberg, B.Holes in the brain. Dev Med Child Neurol 1985; 27: 249–260.CrossRefGoogle ScholarPubMed
17.Pincus, JH.Subacute necrotizing encephalomyelopathy (Leigh’s disease): a consideration of clinical features and etiology. Dev Med Child Neurol 1972; 14: 87–101.CrossRefGoogle ScholarPubMed
18.Rondot, P, De Recondo, J, Davous, P, et al. Rigidité extra-pyramidale avec dystonie, atrophie optique et atteinte bilatérale du putamen chez un adolescent. Forme juvénile de la maladie de Leigh. Rev Neurol (Paris) 1982; 138: 143–148.Google ScholarPubMed
19.Marsden, CD, Lang, AE, Quinn, NP, et al. Familial dystonia and visual failure with striatal CT lucencies. J Neurol Neurosurg Psychiatry 1986; 49: 500–509.CrossRefGoogle ScholarPubMed
20.Berkovic, SF, Karpati, G, Carpenter, S, et al. Progressive dystonia with bilateral putaminal hypodensities. Arch Neurol 1987; 44: 1184–1187.CrossRefGoogle ScholarPubMed