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Under-Recognition of Cervical Dystonia: An Essential Tremor Patient with Numerous Textbook Features of Cervical Dystonia Cover

Under-Recognition of Cervical Dystonia: An Essential Tremor Patient with Numerous Textbook Features of Cervical Dystonia

Open Access
|Nov 2019

Figures & Tables

Video 1

On Arm Extension, There Is Moderate Tremor on the Right That Involves Wrist Flexion–Extension Movements. Tremor on the left is far milder during arm extension.

Video 2

During the Wing-Beat Position, Some Dystonic Flexion and Abduction of the Right Pinky Emerges. The postural tremor is also apparent on the right more than the left.

Video 3

The Patient Pouring. There is moderate kinetic tremor on the right and mild kinetic tremor on the left.

Video 4

The Patient Using a Spoon. There is moderate to severe tremor on the right with spilling.

Video 5

During the Finger–Nose–Finger Maneuver, There Is Mild Kinetic Tremor on the Right; an Intentional Component Is Sometimes Observed. There is also a horizontal neck tremor that is somewhat irregular and slightly directional to the left.

Video 6

While Performing Finger Taps, the Irregular, Directional Neck Tremor Is Observed. The head has a tendency to turn to the left. There is mild to moderate hypertrophy of the right sternocleidomastoid muscle.

Video 7

The Patient with Both Hands in the Air. While opening and closing the fist, the right thumb is slightly flexed in a dystonic posture.

Video 8

Close-up Shot of Patient’s Head while Sitting. The patient notes that she always turns her head to the left and that turning to the left lessens her head tremor.

Video 9

The Patient Standing. She also notes the presence of neck discomfort.

Video 10

Patient Lying on Back. While supine, the neck tremor persists rather than resolving.

DOI: https://doi.org/10.5334/tohm.522 | Journal eISSN: 2160-8288
Language: English
Submitted on: Oct 1, 2019
Accepted on: Oct 23, 2019
Published on: Nov 29, 2019
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2019 Evan A. Hale, Gina Liu, Christine Y. Kim, Elan D. Louis, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.