Under-Recognition of Cervical Dystonia: An Essential Tremor Patient with Numerous Textbook Features of Cervical Dystonia

  • Evan A. Hale
  • Gina Liu
  • Christine Y. Kim
  • Elan D. Louis

Abstract

Background: Physical examination findings of dystonia are often underrecognized, especially in the setting of other movement disorders such as essential tremor (ET).

Phenomenology Shown: A patient with ET exhibited numerous textbook features of cervical dystonia, which were misattributed to ET by a primary care physician and two neurologists.

Educational Value: To provide a clear and unmistakable visual example of the clinically significant characteristics of cervical dystonia in the setting of concomitant ET.

Keywords: Essential tremor, cervical dystonia, clinical, torticollis, neurological examination

Citation: Hale EA, Liu G, Kim CY, Louis ED. Under-Recognition of Cervical Dystonia: An Essential Tremor Patient with Numerous Textbook Features of Cervical Dystonia. Tremor Other Hyperkinet Mov. 2019; 9. doi: 10.7916/tohm.v0.733