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
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author Lee, André
Jahnke, Andreas K.
Altenmüller, Eckart
author_facet Lee, André
Jahnke, Andreas K.
Altenmüller, Eckart
author_sort Lee, André
collection PubMed
description 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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spelling pubmed-37598512013-09-12 Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder Lee, André Jahnke, Andreas K. Altenmüller, Eckart Tremor Other Hyperkinet Mov (N Y) Case Reports 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. Columbia University Libraries/Information Services 2013-08-26 /pmc/articles/PMC3759851/ /pubmed/24032089 Text en http://creativecommons.org/licenses/by-nc-nd/3.0/us/ This is an open-access article distributed under the terms of the Creative Commons Attribution–Noncommerical–No Derivatives License, which permits the user to copy, distribute, and transmit the work provided that the original author and source are credited; that no commercial use is made of the work; and that the work is not altered or transformed.
spellingShingle Case Reports
Lee, André
Jahnke, Andreas K.
Altenmüller, Eckart
Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder
title Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder
title_full Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder
title_fullStr Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder
title_full_unstemmed Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder
title_short Fixed Dystonia of the Left Hand in a Violinist: a Rare Functional Disorder
title_sort fixed dystonia of the left hand in a violinist: a rare functional disorder
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3759851/
https://www.ncbi.nlm.nih.gov/pubmed/24032089
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