Dystonia

This movement disorder can affect a select part of the body or entire body. The treatment ranges from medical management to deep brain stimulation surgery…..

Overview

Dystonia is defined as instinctive, continuous and often monotonous muscle contractions of opposing muscles causing in twisty or spasmodic movements or abnormal postures. We don’t know exactly what causes Dystonia. Researchers believe Dystonia is due to abnormal functioning of the basal ganglia, which are deep brain structures involved with the control of movement. The basal ganglia assist in initiating and regulating movement. What goes wrong in the basal ganglia is still unknown. Lesions or alterations in the neurochemistry of basal ganglia lead to Thalamo-frontal disinhibition leading to dystonia. Some dystonias are inherited, some result from drug-induced effects and some result from brain injuries. Dystonia does not discriminate anyone regardless of race, age, or ethnicity. It is the third most common movement disorder after Parkinson’s disease and Tremors affecting an estimated 300,000 persons in North America. (Epidemiological data for India is not available)

 Types of Dystonia

Dystonia is classified as prime or idiopathic (no known organic lesion) secondary when some known insult happened to the basal ganglia (drugs, trauma, toxins, neoplasm, infarction or other organic causes) or classified by the body region involved.

Generalized dystonia (or idiopathic torsion dystonia) affects a wide range of body areas. It usually occurs in childhood (especially in early teen years) and often affects the limbs and feet.