Abstract
<strong>Background:</strong> Physical examination findings of dystonia are often underrecognized, especially in the setting of other movement disorders such as essential tremor (ET). <strong>Phenomenology Shown:</strong> A patient with ET exhibited numerous textbook features of cervical dystonia, which were misattributed to ET by a primary care physician and two neurologists. <strong>Educational Value:</strong> To provide a clear and unmistakable visual example of the clinically significant characteristics of cervical dystonia in the setting of concomitant ET.
Highlights
Physical examination findings of dystonia are often underrecognized, especially in the setting of other movement disorders such as essential tremor (ET)
There is mild to moderate hypertrophy of the right sternocleidomastoid muscle
The patient notes that she always turns her head to the left and that turning to the left lessens her head tremor
Summary
Physical examination findings of dystonia are often underrecognized, especially in the setting of other movement disorders such as essential tremor (ET). The intention of the ET study was to enroll ET patients who had no additional neurological diagnoses such as dystonia. She had been under the care of a primary care physician and two neurologists who had attributed her upper limb and head tremors to ET.
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