title: A patient with genetically confirmed myoclonus-dystonia responded to anticholinergic treatment and improved spontaneously.
abstract: BACKGROUND
  The various medical treatments applied to myoclonus-dystonia patients with a mutation of the ε-sarcoglycan gene (SGCE) have not been beneficial in most cases. Most patients experience progressive deterioration or static clinical courses, with only rare cases of spontaneous remission.
  
  
  METHODS
  A 19-year-old girl presented with a 14-year history of myoclonus and dystonia that severely affected her left arm, neck, and trunk. Genetic studies showed a mutation in SGCE [deletion in exon 6 (c.771_772delAT, Cys258X)]. Both myoclonus and dystonia responded to anticholinergic treatment for 7 years and improved spontaneously.
  
  
  CONCLUSIONS
  The possibility of spontaneous improvement should be kept in mind when considering the therapeutic strategy in myoclonus-dystonia patients, especially when contemplating deep-brain stimulation.
authors.affiliation: Department of Neurology, Pusan National University Yangsan Hospital, Yangsan, Korea.
authors.forename: Jae Hyeok
authors.initials: JH
authors.lastname: Lee
authors.forename: Chul Hyoung
authors.initials: CH
authors.lastname: Lyoo
authors.forename: Myung Sik
authors.initials: MS
authors.lastname: Lee