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Dystonic gait

MedGen UID:
605455
Concept ID:
C0427163
Finding
SNOMED CT: Dystonic gait (250042005)
 
HPO: HP:0031954

Definition

Dystonic gait disorders frequently appear bizarre, particularly because activity increases dystonic tonus and posture. The abnormal posture of the foot in dystonic gait typically involves inversion, plantar flexion and tonic extension of the big toe. In many patients complex types of walking, such as walking backwards and running are paradoxically less impaired than walking forward and may seem completely unaffected. Sensory tricks, for instance, if the affected individual rests a hand on his or her neck, may improve or even normalize dystonic gait in some patients. [from HPO]

Professional guidelines

PubMed

Wagle Shukla A
Continuum (Minneap Minn) 2022 Oct 1;28(5):1333-1349. doi: 10.1212/CON.0000000000001181. PMID: 36222768
Horisawa S, Fukui A, Takeda N, Kawamata T, Taira T
Ann Clin Transl Neurol 2021 Apr;8(4):857-865. Epub 2021 Mar 15 doi: 10.1002/acn3.51333. PMID: 33720521Free PMC Article
Esquenazi A, Novak I, Sheean G, Singer BJ, Ward AB
Eur J Neurol 2010 Aug;17 Suppl 2:1-8. doi: 10.1111/j.1468-1331.2010.03125.x. PMID: 20633176

Recent clinical studies

Etiology

Nonnekes J, Růžička E, Serranová T, Reich SG, Bloem BR, Hallett M
Neurology 2020 Jun 16;94(24):1093-1099. Epub 2020 Jun 1 doi: 10.1212/WNL.0000000000009649. PMID: 32482839Free PMC Article
Dzieżyc K, Litwin T, Chabik G, Członkowska A
Gait Posture 2015 Oct;42(4):601-3. Epub 2015 Sep 14 doi: 10.1016/j.gaitpost.2015.09.005. PMID: 26392289
Yamamura Y, Hattori N, Matsumine H, Kuzuhara S, Mizuno Y
Brain Dev 2000 Sep;22 Suppl 1:S87-91. doi: 10.1016/s0387-7604(00)00130-3. PMID: 10984666

Diagnosis

Nonnekes J, Růžička E, Serranová T, Reich SG, Bloem BR, Hallett M
Neurology 2020 Jun 16;94(24):1093-1099. Epub 2020 Jun 1 doi: 10.1212/WNL.0000000000009649. PMID: 32482839Free PMC Article
Dzieżyc K, Litwin T, Chabik G, Członkowska A
Gait Posture 2015 Oct;42(4):601-3. Epub 2015 Sep 14 doi: 10.1016/j.gaitpost.2015.09.005. PMID: 26392289
Shill HA, Fife TD
Semin Neurol 2013 Jul;33(3):270-5. Epub 2013 Sep 21 doi: 10.1055/s-0033-1354601. PMID: 24057830
Carecchio M, Schneider SA, Chan H, Lachmann R, Lee PJ, Murphy E, Bhatia KP
Mov Disord 2011 Jun;26(7):1324-8. Epub 2011 Apr 11 doi: 10.1002/mds.23629. PMID: 21484869Free PMC Article
Nygaard TG, Marsden CD, Duvoisin RC
Adv Neurol 1988;50:377-84. PMID: 3041760

Therapy

Akbar U, Friedman JH
R I Med J (2013) 2016 May 2;99(5):14. PMID: 27128509
Nygaard TG, Marsden CD, Duvoisin RC
Adv Neurol 1988;50:377-84. PMID: 3041760

Prognosis

Ji T, Kotagal S
Semin Pediatr Neurol 2008 Dec;15(4):174-7. doi: 10.1016/j.spen.2008.10.007. PMID: 19073322
Yamamura Y, Hattori N, Matsumine H, Kuzuhara S, Mizuno Y
Brain Dev 2000 Sep;22 Suppl 1:S87-91. doi: 10.1016/s0387-7604(00)00130-3. PMID: 10984666

Clinical prediction guides

Dzieżyc K, Litwin T, Chabik G, Członkowska A
Gait Posture 2015 Oct;42(4):601-3. Epub 2015 Sep 14 doi: 10.1016/j.gaitpost.2015.09.005. PMID: 26392289
Carecchio M, Schneider SA, Chan H, Lachmann R, Lee PJ, Murphy E, Bhatia KP
Mov Disord 2011 Jun;26(7):1324-8. Epub 2011 Apr 11 doi: 10.1002/mds.23629. PMID: 21484869Free PMC Article

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