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A disturbance in the balance of chemicals produced in the brain may be responsible. It provides a generalization, but a good one, and, hopefully, one that others can understand. Spasmodic Torticollis (ST), and/or cervical dystonia, is a neurological condition thought to originate in the basal ganglia portion of the brain.
Surgery is performed only if the patient does not respond to the oral medications or the injections.
However, it is unknown if the gene that causes Early Onset Torsion Dystonia is responsible for the other dystonias as well. However, there are several medical approaches that can be taken in order to lessen the symptoms of the disease.
The treatment must be patient specific, taking into consideration all of the previous and current health complications.
This confusion is why ST is often misdiagnosed and/or undiagnosed.
Symptoms will generally settle on one side of the neck; a shoulder may be higher; pain, numbness or tingling sensations may be felt in the arm or hand.
The medications focus on the chemicals released by neurotransmitters in the nervous system, which control muscle movement.
The medications on the market today are anticholinergics, benzodiazepines, baclofen, dopaminergic agents/dopamine-depleting agents, and tetrabenazine.ST affects movement only and is not life threatening.As a result of this chronic problem ST can affect personality.A mutation in the DYT1 gene causes the loss of an amino acid, glutamic acid, in the Torsin A protein.The defective protein creates a disruption in communication in neurons that control muscle movement and muscle control.If tremors are present, they will generally be in the head. Although genetic studies are ongoing, heredity, at this time, occurs in no more than 5-10% of those surveyed.