Functional writer's cramp as psychogenic focal dystonia

We present a description of a functional writer's cramp case. The disease manifested as pain and tension in the right hand when writing; thus, we suspected kinesigenic dystonia in the form of writer's cramp. However, the motor pattern and the presence of additional manifestations made it p...

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Main Authors: V. A. Tolmacheva, P. G. Yuzbashyan, R. M. Shishorin, B. A. Volel, D. V. Romanov
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2022-02-01
Series:Неврология, нейропсихиатрия, психосоматика
Subjects:
Online Access:https://nnp.ima-press.net/nnp/article/view/1760
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author V. A. Tolmacheva
P. G. Yuzbashyan
R. M. Shishorin
B. A. Volel
D. V. Romanov
author_facet V. A. Tolmacheva
P. G. Yuzbashyan
R. M. Shishorin
B. A. Volel
D. V. Romanov
author_sort V. A. Tolmacheva
collection DOAJ
description We present a description of a functional writer's cramp case. The disease manifested as pain and tension in the right hand when writing; thus, we suspected kinesigenic dystonia in the form of writer's cramp. However, the motor pattern and the presence of additional manifestations made it possible to assume the neurotic nature of hyperkinesis. A psychiatrist diagnosed a combined conversion motor and undifferentiated somatoform disorder as a part of personality dynamics of the dramatic cluster at the involutionary age. Treatment included cognitive-behavioral therapy and periciazine administration with a positive effect. We discuss the aspects of hyperkinesis and mental status, which help differentiate the kinesigenic form of dystonia (writer's cramp) and functional movement disorder.
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spelling doaj.art-3964868d007f42c4b7a09336d2eae10e2023-03-13T08:42:22ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422022-02-0114111512110.14412/2074-2711-2022-1-115-1211243Functional writer's cramp as psychogenic focal dystoniaV. A. Tolmacheva0P. G. Yuzbashyan1R. M. Shishorin2B. A. Volel3D. V. Romanov4I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia; Mental Health Research CenterWe present a description of a functional writer's cramp case. The disease manifested as pain and tension in the right hand when writing; thus, we suspected kinesigenic dystonia in the form of writer's cramp. However, the motor pattern and the presence of additional manifestations made it possible to assume the neurotic nature of hyperkinesis. A psychiatrist diagnosed a combined conversion motor and undifferentiated somatoform disorder as a part of personality dynamics of the dramatic cluster at the involutionary age. Treatment included cognitive-behavioral therapy and periciazine administration with a positive effect. We discuss the aspects of hyperkinesis and mental status, which help differentiate the kinesigenic form of dystonia (writer's cramp) and functional movement disorder.https://nnp.ima-press.net/nnp/article/view/1760movement disordersdystoniawriter's crampkinesigenic dystoniafunctional movement disorderconversion disorder
spellingShingle V. A. Tolmacheva
P. G. Yuzbashyan
R. M. Shishorin
B. A. Volel
D. V. Romanov
Functional writer's cramp as psychogenic focal dystonia
Неврология, нейропсихиатрия, психосоматика
movement disorders
dystonia
writer's cramp
kinesigenic dystonia
functional movement disorder
conversion disorder
title Functional writer's cramp as psychogenic focal dystonia
title_full Functional writer's cramp as psychogenic focal dystonia
title_fullStr Functional writer's cramp as psychogenic focal dystonia
title_full_unstemmed Functional writer's cramp as psychogenic focal dystonia
title_short Functional writer's cramp as psychogenic focal dystonia
title_sort functional writer s cramp as psychogenic focal dystonia
topic movement disorders
dystonia
writer's cramp
kinesigenic dystonia
functional movement disorder
conversion disorder
url https://nnp.ima-press.net/nnp/article/view/1760
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