Movement Disorders – Dystonia (Writer's cramp)

“abnormal postures and muscle spasms interfering in writing motor performance”

- Most freq focal, task-specific dystonia.
- Managed botox > orals (anticholinergic)

#MedTwitter #neurotwitter #EndNeurophobia #movementdisorder
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History #dystonia

First description

Bernardino Ramazzini (1633-1714) discussed focal hand dystonia as a muscle strain in “Scribes and Notaries” De Morbis Artificum Diatriba.

doi.org/10.1016/s0140-…

2/ ImageImage
Writer's cramp (focal hand dystonia)

doi.org/10.1002/mds.23… via: Mov Disord

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Writer's cramp (focal hand dystonia)

doi.org/10.1002/mds.23… via: Mov Disord

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Writer's cramp (focal hand dystonia)

doi.org/10.1002/mds.23… via: Mov Disord

5/
Writer's cramp (focal hand dystonia)

doi.org/10.1002/mds.23… via: Mov Disord

6/
Writer's cramp (focal hand dystonia)

doi.org/10.1007/978-1-… via: Current Clinical Neurology

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Writer's cramp (focal hand dystonia)

doi.org/10.1007/978-1-… via: Current Clinical Neurology

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Writer's cramp (focal hand dystonia)

via: Dr.Paresh Doshi

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Writer's cramp (focal hand dystonia)

via: Dr. Joaquin Farias

10/
Writer's cramp (focal hand dystonia)

via: Dr. Bác Sĩ Thần Kinh

11/
Writer's cramp (focal hand dystonia)

via: Dr.Paresh Doshi

12/
Writer's cramp (focal hand dystonia)

via: Dr. Dr Sudhir Kumar

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More from @theneurolander

Oct 24
Babinski and Friends!!!

“Loss of descending pyramidal control of the reflex arc to suppress extensor withdrawal results in the upgoing toes in the plantar reflex known as Babinski's sign”

1st described by Joseph Babinskiin 1896

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1/ Image
Bing's sign

“pricking of the dorsum of foot or the 1st toe with a pin”

discovered by Swiss neurologist Paul Robert Bing (1878–1956)

youtube.com/shorts/SgIBzIG… via: Nagesh's Clinical Medicine

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“stroking the dorsum of foot along the extensor tendon of the 1st toe”

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“chorea that affects proximal joints such as shoulder or hip” Mov Disord Society, 2011

- Freq causes: vascular and metabolic

- Good response to antipsychotics, usually self-limiting

#MedTwitter #neurotwitter #EndNeurophobia #movementdisorder

1/ Image
First report

In 1927 James Purdon Martin
Hemichorea resulting from a local lesion of the brain

doi.org/10.1093/brain/…

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Hemichorea-hemiballismus: nonketotic hyperglycemia

doi.org/10.1212/WNL.0b… via: Neurology

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