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Psychogenic dystonia of the hand: A clinical case

https://doi.org/10.14412/2074-2711-2016-2-62-67

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Abstract

The article describes a clinical case of psychogenic movement disorder appearing as fixed dystonia without pain. Over 5 years, a patient has had the right fingers being permanently clenched into a fist position at rest, which increased when fulfilling any motor task; carpal pain was absent. When he was 18 years old, the patient sustained a blast injury with concussion. A leather glove was used to reduce clenching and a makeshift device was applied to move the fingers apart. Motor function of the hand persisted; its atrophy was absent; muscle tone in the hand was sufficient; reflexes were symmetrical; sensitivity was not impaired. His gait, voice, speech were not changed. When writing, there was increased pencil grasp (not writer's cramp); his handwriting was smooth and legible. The patient uses the voluntary compensatory movements of the right hand (holding a thing with one hand in a supine position) and fingers (crossing the third finger over the fourth and conversely), which reduce the manifestations of movement disorder. He refused psychiatric examination and to take any medications. 

About the Authors

A. I. Baidauletova
«Neuroclinic» Medical Center, Almaty
Kazakhstan
260, Kabanbai batyra St., Almaty


O. A. Shavlovskaya
Research Department of Neurology, Research Center, O.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow
Russian Federation
8, Trubetskaya St., Build. 2, Moscow 119991


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For citation:


Baidauletova A.I., Shavlovskaya O.A. Psychogenic dystonia of the hand: A clinical case. Neurology, Neuropsychiatry, Psychosomatics. 2016;8(2):62-67. (In Russ.) https://doi.org/10.14412/2074-2711-2016-2-62-67

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)