“…The degraded action selection which underpins these involuntary movements have long been thought to be the consequence of dysfunction within the basal ganglia, based on clinical observation (Berardelli et al, 1998;Bhatia & Marsden, 1994), neuroimaging (Colosimo et al, 2005;Draganski et al, 2009;Naumann et al, 1998;Zoons, Booij, Nederveen, Dijk, & Tijssen, 2011), and its secondary association with "extra-pyramidal" disorders (Burke et al, 1982;Louis, Lee, Quinn, & Marder, 1999;Rivest, Quinn, & Marsden, 1990). The recent identification of families with novel mutations in genes which encode proteins richly expressed within the striatum implicated in dopaminergic signal transduction, e.g., GNAL (Kumar et al, 2014), and ANO3 (Charlesworth et al, 2012) has reignited interest in "old ideas" about dopaminergic dysfunction being a common pathophysiological hallmark (Goodchild, Grundmann, & Pisani, 2013). For patients with cervical dystonia, detailed molecular and neurophysiological understanding of the nature of this derangement in signaling is crucial for the development of new treatments.…”