A Novel Presentation of an Ocular Geste Antagoniste in Cervical Dystonia: A Case Report

Boyd, James T.; Fries, Timothy J.; Nagle, Keith J.; Hamill, Robert W.

A geste antagoniste or sensory trick is a well described phenomenon associated with primary cervical dystonia. Craniocervical tactile stimulation or stereotyped limb movements allow patients to transiently ameliorate dystonic activation of cervical musculature. Case Report We report a patient with primary cervical dystonia who presented with a "novel ocular" geste antagoniste. Through a sensory trick of tonic left eye deviation, the patient transiently reduces cervical dystonic activity (improved range of motion and reduced dystonic tremor). Multi-channel surface electromyography and video are used to illustrate these findings. Discussion This case presents a unique clinical observation of specific voluntary eye movements attenuating cervical dystonia. The phenomenon is phenotypically consistent with previously described limb sensorimotor tricks.



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Tremor and Other Hyperkinetic Movements

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Academic Units
Center for Parkinson's Disease and Other Movement Disorders
Published Here
February 7, 2014