Two task-specific dystonias in one hand

Tremor Other Hyperkinet Mov (N Y). 2013 Aug 8:3:tre-03-166-4154-1. doi: 10.7916/D8J38R8R. eCollection 2013.

Abstract

Background: Dystonia is characterized by involuntary muscle contractions that lead to abnormal postures and/or repetitive movements. Task-specific dystonia only manifests during a specific activity.

Case report: We report a case of a female with writer's cramp who developed a second task-specific hand dystonia (tremor and abnormal posturing of the hand while using a computer mouse) many years after the initial onset.

Discussion: This observation is in agreement with the concept that task-specific hand dystonia is induced by repetitive, skilled hand movements in those who have an intrinsic vulnerability towards developing "dystonic" motor programs.

Keywords: Task-specificity; dystonia; tremor; writer's cramp.