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Psychiatric symptoms associated with focal hand dystonia

✍ Scribed by Valerie Voon; Tracy R. Butler; Vindhya Ekanayake; Cecile Gallea; Rezvan Ameli; Dennis L. Murphy; Mark Hallett

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 459 KB
Volume: 25
Category: Article
ISSN: 0885-3185
DOI: 10.1002/mds.23250

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✦ Synopsis

Abstract

Myoclonus dystonia and idiopathic dystonia are associated with a greater frequency of obsessive compulsive disorder (OCD) and major depression. We investigated the frequency of OCD in 39 patients with primary focal hand dystonia (FHD) using a semistructured interview. OCD and subsyndromal OCD was diagnosed in 5 of 39 (12.82%) patients with FHD, whereas OCD occurs in 2.3% of the general population. Recurrent depression occurred in (7 of 39) 17.95% of patients with FHD along with a family history of depression in (16 of 39) 41.02%. Overlapping mechanisms manifesting as FHD may also predispose to OC symptoms and likely implicates a common striatal dysfunction. © 2010 Movement Disorder Society

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