Task-specific dystonias: A review

Diego Torres-Russotto, Joel S. Perlmutter

Research output: Chapter in Book/Report/Conference proceedingChapter

99 Scopus citations

Abstract

Task-specific dystonias are primary focal dystonias characterized by excessive muscle contractions producing abnormal postures during selective motor activities that often involve highly skilled, repetitive movements. Historically these peculiar postures were considered psychogenic but have now been classified as forms of dystonia. Writer's cramp is the most commonly identified task-specific dystonia and has features typical of this group of disorders. Symptoms may begin with lack of dexterity during performance of a specific motor task with increasingly abnormal posturing of the involved body part as motor activity continues. Initially, the dystonia may manifest only during the performance of the inciting task, but as the condition progresses it may also occur during other activities or even at rest. Neurological exam is usually unremarkable except for the dystonia-related abnormalities. Although the precise pathophysiology remains unclear, increasing evidence suggests reduced inhibition at different levels of the sensorimotor system. Symptomatic treatment options include oral medications, botulinum toxin injections, neurosurgical procedures, and adaptive strategies. Prognosis may vary depending upon body part involved and specific type of task affected. Further research may reveal new insights into the etiology, pathophysiology, natural history, and improved treatment of these conditions.

Original languageEnglish (US)
Title of host publicationThe Year in Neurology 2008
PublisherBlackwell Publishing Inc.
Pages179-199
Number of pages21
ISBN (Print)9781573317306
DOIs
StatePublished - Oct 2008

Publication series

NameAnnals of the New York Academy of Sciences
Volume1142
ISSN (Print)0077-8923
ISSN (Electronic)1749-6632

Keywords

  • Botulinum toxin
  • Dystonia, task-specific dystonia
  • Embouchure dystonia
  • Focal hand dystonia
  • Functional neuroimaging
  • Golfer's yips
  • Laryngeal dystonia
  • Musician's cramp
  • Pathophysiology
  • Primary focal dystonia
  • Review
  • Writer's cramp

ASJC Scopus subject areas

  • Neuroscience(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

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    Torres-Russotto, D., & Perlmutter, J. S. (2008). Task-specific dystonias: A review. In The Year in Neurology 2008 (pp. 179-199). (Annals of the New York Academy of Sciences; Vol. 1142). Blackwell Publishing Inc.. https://doi.org/10.1196/annals.1444.012