Skip to main content
AAN.com
Articles
July 1, 1991

Cervical dystonia
Clinical findings and associated movement disorders

July 1991 issue
41 (7) 1088

Abstract

We studied 300 patients, 61% women, with mean age 49.7 years and mean duration of dystonia 7.8 years, to determine the demographic and clinical characteristics of cervical dystonia (CD) and its relationships to other movement disorders. Torticollis was present in 82%, laterocollis in 42%, retrocollis in 29%, and anterocollis in 25%; however, the majority (66%) had a combination of these abnormal postures. Scoliosis was present in 39%, local pain reported by 68%, and 32% had evidence of secondary cervical radiculopathy. In addition to CD, 16% of patients had oral dystonia, 12% mandibular dystonia, 10% hand/arm dystonia, and 10% had blepharospasm. Tremor was noted in 71% of patients; head-neck tremor was present in 60%, and tremor in other body regions was present in 32%. A family history of a movement disorder was present in 44% of the CD patients. Tardive dystonia was the cause in 6%; 11% had posttraumatic dystonia. Anticholinergic drugs provided moderate improvement in 33% of patients, but local intramuscular botulinum toxin injections relieved CD, local pain, or both in over 90% of all treated patients.

Get full access to this article

View all available purchase options and get full access to this article.

Information & Authors

Information

Published In

Neurology®
Volume 41Number 7July 1991
Pages: 1088
PubMed: 2067638

Publication History

Published online: July 1, 1991
Published in print: July 1991

Permissions

Request permissions for this article.

Authors

Affiliations & Disclosures

Joseph Jankovic, MD
Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX.
Stuart Leder, MD
Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX.
Dhyanne Warner, PhD MD; and
Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX.
Kenneth Schwartz, PA
Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX.

Metrics & Citations

Metrics

Citations

Download Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Select your manager software from the list below and click Download.

Cited By
  1. Improving the Efficacy of Botulinum Toxin for Cervical Dystonia: A Scoping Review, Toxins, 15, 6, (391), (2023).https://doi.org/10.3390/toxins15060391
    Crossref
  2. Pointing in cervical dystonia patients, Frontiers in Systems Neuroscience, 17, (2023).https://doi.org/10.3389/fnsys.2023.1306387
    Crossref
  3. Deconstructing motor and non-motor aspects of dystonia with neuroimaging, Dystonia, 2, (2023).https://doi.org/10.3389/dyst.2023.11526
    Crossref
  4. Gait and balance in cervical dystonia and dystonic head tremor, Dystonia, 2, (2023).https://doi.org/10.3389/dyst.2023.11231
    Crossref
  5. Evaluation of sternocleidomastoid muscle cutaneous silent period in patients with cervical dystoniaServikal distonili hastalarda sternokleidomastoid kasta kutanöz sessiz periyot değerlendirilmesi, Cukurova Medical Journal, 48, 2, (463-471), (2023).https://doi.org/10.17826/cumj.1240625
    Crossref
  6. Management of cervical dystonia with botulinum neurotoxins and EMG/ultrasound guidance, Neurology Clinical Practice, 9, 1, (64-73), (2023)./doi/10.1212/CPJ.0000000000000568
    Abstract
  7. Using Flexible and Stretchable Surface Electromyography Electrode Array to Evaluate Congenital Muscular Torticollis in Children, IEEE Transactions on Neural Systems and Rehabilitation Engineering, 31, (2477-2485), (2023).https://doi.org/10.1109/TNSRE.2023.3271650
    Crossref
  8. Bilateral globus pallidus internus (GPi) deep brain stimulation for cervical dystonia: Effects on motor and non-motor symptoms within 5 years follow, Journal of the Neurological Sciences, 452, (120752), (2023).https://doi.org/10.1016/j.jns.2023.120752
    Crossref
  9. Dystonia and tremor: Do they have a shared biology?, , (413-439), (2023).https://doi.org/10.1016/bs.irn.2023.04.002
    Crossref
  10. Excessive psychological stress preceding the onset of idiopathic cervical dystonia, Journal of Neural Transmission, (2023).https://doi.org/10.1007/s00702-023-02694-7
    Crossref
  11. See more
Loading...

View Options

Get Access

Login options

Check if you have access through your login credentials or your institution to get full access on this article.

Personal login Institutional Login
Purchase Options

Purchase this article to get full access to it.

Purchase Access, $39 for 24hr of access

View options

Full Text

View Full Text

Media

Figures

Other

Tables

Share

Share

Share article link

Share