Spasmodic torticollis - a multicentre study on behavioural aspects II: signs, symptoms and course.
This paper deals with signs, symptoms and course in spasmodic torticollis (ST). Two hundred and fifty-six patients were included in the study, 59.3% women, 40.7% men. The mean age was 49.1 years. Rotating torticollis out-numbered latero- and antero-retrocollis. A family history of ST occurred in 3.1% of the total sample. First degree relatives were affected in 2.3%. Thirty-four per cent of the patients had additional dystonic symptoms. Most frequently these affected the upper extremities (13%), and less often the legs. Of the patients 19.1% had experienced a period of complete remission. The correlations between the severity of the signs and the neurological symptoms are surprisingly weak.
Neurologische Klinik, Universität Freiburg, Germany.
F
F
Heinen
Abteilung für Psychotherapie und Psychosomatik, Universität Freiburg, Germany.
C E
CE
Scheidt
Abteilung für Psychotherapie und Psychosomatik, Universität Freiburg, Germany.
T
T
Nickel
Abteilung für Psychotherapie und Psychosomatik, Universität Freiburg, Germany.
O
O
Rayki
Neurologische Klinik, Rudolf-Virchow-Krankenhaus, Humboldt-Universität Berlin, Germany.
J
J
Wissel
Neurologische Klinik, Rudolf-Virchow-Krankenhaus, Humboldt-Universität Berlin, Germany.
W
W
Poewe
Neurologische Klinik, Universität Düsseldorf, Germany.
R
R
Benecke
Neurologische Klinik, Ludwig-Maximilians-Universität München, Germany.
G
G
Arnold
Neurologische Klinik, Ludwig-Maximilians-Universität München, Germany.
W
W
Oertel
Neurologische Klinik, Medizinische Hochschule Hannover, Germany.
R
R
Dengler
Neurologische Klinik, Universität Freiburg, Germany.
G
G
Deuschl
Course; Family history; Signs; Spasmodic torticollis; Symptoms