Fixed dystonia of the left hand in a violinist: a rare functional disorder

BACKGROUNDFixed dystonia leads to an immobile abnormal posturing of the affected limb. There is an ongoing debate whether this condition is psychogenic in origin. CASE REPORTWe present a 21-year-old violinist with fixed dystonia after an acute overuse injury with a transient cyanosis but no signs fo...

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Published inTremor and other hyperkinetic movements (New York, N.Y.) Vol. 3
Main Authors Lee, André, Jahnke, Andreas K, Altenmüller, Eckart
Format Journal Article
LanguageEnglish
Published Ubiquity Press 01.09.2013
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Abstract BACKGROUNDFixed dystonia leads to an immobile abnormal posturing of the affected limb. There is an ongoing debate whether this condition is psychogenic in origin. CASE REPORTWe present a 21-year-old violinist with fixed dystonia after an acute overuse injury with a transient cyanosis but no signs for psychological trauma. After Incobotulinumtoxin injection, symptoms subsided within 8 hours. DISCUSSIONOur case corroborates the notion that fixed dystonias after minor injuries are functional disorders. It underlines the necessity of a biopsychosocial approach to functional disorders, considering the possibility of an overlay between organic and non-organic disorders.
AbstractList BACKGROUNDFixed dystonia leads to an immobile abnormal posturing of the affected limb. There is an ongoing debate whether this condition is psychogenic in origin. CASE REPORTWe present a 21-year-old violinist with fixed dystonia after an acute overuse injury with a transient cyanosis but no signs for psychological trauma. After Incobotulinumtoxin injection, symptoms subsided within 8 hours. DISCUSSIONOur case corroborates the notion that fixed dystonias after minor injuries are functional disorders. It underlines the necessity of a biopsychosocial approach to functional disorders, considering the possibility of an overlay between organic and non-organic disorders.
Background:Fixed dystonia leads to an immobile abnormal posturing of the affected limb. There is an ongoing debate whether this condition is psychogenic in origin. Case Report:We present a 21‐year‐old violinist with fixed dystonia after an acute overuse injury with a transient cyanosis but no signs for psychological trauma. After Incobotulinumtoxin injection, symptoms subsided within 8 hours. Discussion:Our case corroborates the notion that fixed dystonias after minor injuries are functional disorders. It underlines the necessity of a biopsychosocial approach to functional disorders, considering the possibility of an overlay between organic and non‐organic disorders.
Author Jahnke, Andreas K
Lee, André
Altenmüller, Eckart
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Title Fixed dystonia of the left hand in a violinist: a rare functional disorder
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