Dopa-responsive childhood dystonia: a forme fruste with writer's cramp, triggered by exercise

Details

Serval ID
serval:BIB_B8EEC30CA24C
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Dopa-responsive childhood dystonia: a forme fruste with writer's cramp, triggered by exercise
Journal
Developmental Medicine and Child Neurology
Author(s)
Deonna  T., Roulet  E., Ghika  J., Zesiger  P.
ISSN
0012-1622 (Print)
Publication state
Published
Issued date
01/1997
Volume
39
Number
1
Pages
49-53
Notes
Case Reports
Journal Article --- Old month value: Jan
Abstract
An 11-year-old girl was evaluated for walking difficulties and fatigue at the end of the day in the last 2 years. Handwriting was also difficult with 'cramps' after a short time of writing. Neurological examination was normal most of the time but in the evening and after exercise, an abnormal walking posture and rare dystonic movements of the foot could sometimes be seen. The mother was found to have mild parkinsonism and is asymptomatic on L-dopa. In the daughter, all symptoms and signs disappeared on L-dopa, but returned when the drug was withdrawn. The changes on- and off-treatment were documented with videofilms and computerized analysis of writing samples. The situation has been stable during a 5-year follow-up. We draw attention to this 'forme fruste' of dopa-sensitive childhood dystonia which becomes manifest with exercise and which can easily go unrecognized. We also discuss and illustrate the methods used for the analysis of writing.
Keywords
Child Dystonia/*drug therapy/physiopathology *Exercise Female Foot/physiopathology Humans Levodopa/pharmacology/*therapeutic use Motor Skills/drug effects *Writing
Pubmed
Web of science
Create date
25/01/2008 11:45
Last modification date
20/08/2019 15:26
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