The entity of young onset primary cervical dystonia

被引:20
作者
Koukouni, Vasiliki
Martino, Davide
Arabia, Gennarina
Quinn, Niall P.
Bhatia, Kailash P.
机构
[1] UCL, Neurol Inst, Sobell Dept Motor Neurosci & Movement Disorders, London WC1N 3BG, England
[2] Univ Bari, Dept Neurol & Psychiat Sci, Bari, Italy
[3] CNR, Inst Neurol Sci, Cosenza, Italy
关键词
primary cervical dystonia; torticollis; young onset;
D O I
10.1002/mds.21421
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Primary cervical dystonia is typically an adult onset condition with symptom onset usually in the fifth and sixth decade. Young onset (< 28 years) is uncommon. We report 76 patients with cervical dystonia as a presenting or predominant feature, with disease onset before the age of 28. Male to female ratio was 1.24:1 and the mean onset age was 21 (3-28) years. A family history of tremor and/or dystonia was noted in 26.3%. Depression and anxiety attacks were present in 23.7%. Prior injury or surgery involving the neck was noted in 17.1%. 23 (30.3%) experienced spontaneous partial or complete remissions within the first 5 years of onset, but all relapsed. Cervical dystonia was predominantly rotational torticollis. 30% developed extra-nuchal dystonia and tremor affecting contiguous parts but in only one there was spread to affect the legs. All 15 patients tested for the DYT1 gene were negative. 74% responded favorably to botulinum toxin injections, whereas none of the 13 patients treated with L-Dopa preparations had a beneficial response. The distinctive features of this entity are discussed. (c) 2007 Movement Disorder Society.
引用
收藏
页码:843 / 847
页数:5
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