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

Détails

ID Serval
serval:BIB_B8EEC30CA24C
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Dopa-responsive childhood dystonia: a forme fruste with writer's cramp, triggered by exercise
Périodique
Developmental Medicine and Child Neurology
Auteur(s)
Deonna  T., Roulet  E., Ghika  J., Zesiger  P.
ISSN
0012-1622 (Print)
Statut éditorial
Publié
Date de publication
01/1997
Volume
39
Numéro
1
Pages
49-53
Notes
Case Reports
Journal Article --- Old month value: Jan
Résumé
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 In the daughter, all symptoms and signs disappeared on L-dopa, but returned when the drug was withdrawn.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.
Mots-clé
Child Dystonia/*drug therapy/physiopathology *Exercise Female Foot/physiopathology Humans Levodopa/pharmacology/*therapeutic use Motor Skills/drug effects *Writing
Pubmed
Web of science
Création de la notice
25/01/2008 11:45
Dernière modification de la notice
20/08/2019 15:26
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