Transient Idiopathic Dystonia in Infancy

Deonna, T; Ziegler, Anne‐Lise; Nielsen, Jacqueline

doi:10.1055/s-2008-1071445

Cited by 30 publications

(21 citation statements)

References 8 publications

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“…The differential diagnosis was based on the history, symptoms fluctuation, and neurological examination. In TIDI, the anomaly posture typically does not interfere with function …”

Section: Case Descriptionmentioning

confidence: 99%

Transient Idiopathic Dystonia in Infancy: A Clinical Case and Video Description

Davico

Sotgiu

Canavese

2016

Movement Disord Clin Pract

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“…The differential diagnosis was based on the history, symptoms fluctuation, and neurological examination. In TIDI, the anomaly posture typically does not interfere with function …”

Section: Case Descriptionmentioning

confidence: 99%

Transient Idiopathic Dystonia in Infancy: A Clinical Case and Video Description

Davico

Sotgiu

Canavese

2016

Movement Disord Clin Pract

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“…The postures may occasionally involve the trunk, either arms, or one side of the body. 69 When prone, the infant often maintains forced forearm pronation, using the back of the hand as a support. In the lower limb the feet may be held in equinovarus.…”

Section: Rapid-onset Dystonia-parkinsonism (Rdp Dyt12)mentioning

confidence: 99%

Update on pediatric dystonias: etiology, epidemiology, and management

Fernández-Álvarez¹,

Nardocci

2012

DNND

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Dystonia is a movement disorder characterized by sustained muscle contractions producing twisting, repetitive, and patterned movements or abnormal postures. Dystonia is among the most commonly observed movement disorders in clinical practice both in adults and children. It is classified on the basis of etiology, age at onset of symptoms, and distribution of affected body regions. Etiology: The etiology of pediatric dystonia is quite heterogeneous. There are many different genetic syndromes and several causes of symptomatic syndromes. Dystonia can be secondary to virtually any pathological process that affects the motor system, and particularly the basal ganglia. Classification: The etiological classification distinguishes primary dystonia with no identifiable exogenous cause or evidence of neurodegeneration and secondary syndromes. Treatment: Treatment for most forms of dystonia is symptomatic and includes drugs (systemic or focal treatments, such as botulinum toxin) and surgical procedures. There are several medications including anticholinergic, dopamine-blocking and depleting agents, baclofen, and benzodiazepines. In patients with dopamine synthesis defects L-dopa treatment may be very useful. Botulinum toxin treatment may be helpful in controlling the most disabling symptoms of segmental or focal dystonia. Long-term electrical stimulation of the globus pallidum internum appears to be especially successful in children suffering from generalized dystonia.

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“…In patient 1 there was a progression of symptoms between ages 11 and 14 months, which was not observed in the other children. A detailed account of her history can be found as patient 7 in the article by Deonna et al (1991) on transient idiopathic dystonia, in which she was first described. On first clinical examination (Table III) there was increased resistance to all imposed passive movements at the ankle joints (not only dorsiflexion) and barely any lateral passive movements when the ankles were shaken laterally as the child was examined sitting with feet suspended ('ballant').…”

Section: Initial Presentation and Progressmentioning

confidence: 99%

Transient dystonic toe‐walking: differentiation from cerebral palsy and a rare explanation for some unexplained cases of idiopathic toe‐walking

Newman

Ziegler

Jeannet

et al. 2006

Develop Med Child Neuro

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We report on seven children (five males, two females) who presented with marked, often asymmetrical, toe‐walking from onset of independent walking, associated with abnormal foot postures and increased tone at the ankles with characteristics of dystonia. Most of the children had presented with unusual pre‐walking locomotion and a mild delay in independent walking. They did not fit into the usual categories of ‘habitual’ toe‐walking or congenital short tendo calcaneus but nor did they have the clinical signs of spastic diplegia or of a peripheral neuromuscular disease. Normalization occurred progressively in the second to fourth years of life. The children were re‐examined several years later (1 to 11y) and were normal. We believe that their persistent toe‐walking corresponded to a variant of ‘transient focal dystonia of infancy’. Knowledge of its existence may justify a period of observation without special investigations, surgery, or casting.

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Transient Idiopathic Dystonia in Infancy

Cited by 30 publications

References 8 publications

Transient Idiopathic Dystonia in Infancy: A Clinical Case and Video Description

Transient Idiopathic Dystonia in Infancy: A Clinical Case and Video Description

Update on pediatric dystonias: etiology, epidemiology, and management

Transient dystonic toe‐walking: differentiation from cerebral palsy and a rare explanation for some unexplained cases of idiopathic toe‐walking

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