Nishant Marvaniyaover 6 years ago
A 50 yr male complain of writing difficulty since 10 year. He could write only 4-5 line then start difficulty.No tremor,No muscle wasting,No Nerve compression.. His occupation computer accounter.. his father also suffered same complain..pls suggested me Diagnosis,Examination , treatment
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over 6 years ago
Familial Focal Dystonia (familial "writer's cramp") Brain Imaging to assess Basal Ganglia (rule out aquired lesions or idiopathic calcification) and DATSCAN (to ddx with generalized dystonia) Genetic testing can be expensive and not applicable to adult onset focal dystonias afaik. Botox injections have a 50-50 success rate, a bit better response have anticholinergics. Either way, they are poorly managed.
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