The diagnostic challenge of primary dystonia: evidence from misdiagnosis

Alberto Albanese, Stefania Lalli

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

46 Citazioni (Scopus)

Abstract

Although the understanding of dystonia has improved in recent years, primary dystonia is still insufficiently recognized and patients may not receive the correct diagnosis, leading to transient or permanent misclassification of their symptoms. We reviewed cases of primary dystonia who were at first misdiagnosed and analyzed the reasons why the correct diagnosis was first missed and later retained. Primary dystonia is misdiagnosed mainly, but not exclusively, in favor of other movement disorders: Parkinson's disease (PD), essential tremor, myoclonus, tics, psychogenic movement disorder (PMD), and even headache or scoliosis. Accounts are more numerous for PD and PMD, where diagnostic tests, such as DAT scan and psychological assessment, support clinical orientation. The correct diagnosis was achieved in all cases following the recognition of inconsistencies in the first judgment and of distinctive clinical features of dystonia. These clues have been collected here and assembled into a diagnostic epitome.
Lingua originaleEnglish
pagine (da-a)1619-1626
Numero di pagine8
RivistaMovement Disorders
Volume2010
Stato di pubblicazionePubblicato - 2010

Keywords

  • diagnosis
  • dystonia

Fingerprint

Entra nei temi di ricerca di 'The diagnostic challenge of primary dystonia: evidence from misdiagnosis'. Insieme formano una fingerprint unica.

Cita questo