Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder

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 sign...

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Detalles Bibliográficos
Autores principales: Lee, André, Jahnke, Andreas K., Altenmüller, Eckart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2013
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3759851/
https://www.ncbi.nlm.nih.gov/pubmed/24032089
Descripción
Sumario: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.

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