Journal of Neurology

, 258:1712 | Cite as

Idiopathic adult onset action dystonia of the lower limbs: case reports

  • Jose Fidel Baizabal CarvalloEmail author
  • Marie Vidailhet
Letter to the Editors


Dystonia Involuntary Movement Spondylosis Thigh Pain Nerve Root Compression 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of interest


Supplementary material

Video Segment 1 Patient 1 shows the involuntary excessive initial flexion of the right thigh followed by external rotation; the movement improves while walking backwards, on a straight line and sideways. (WMV 4140 kb)

Video Segment 2 Patient 2 shows initially excessive flexion and external rotation of the right leg, with foot and toes dorsiflexion when going downstairs; the movement improves while descending backwards, going up stairs and walking on a flat surface. (WMV 4820 kb)


  1. 1.
    Baik JS, Lang AE (2007) Gait abnormalities in psychogenic movement disorders. Mov Disord 22:395–399PubMedCrossRefGoogle Scholar
  2. 2.
    Bozi M, Bhatia KP (2003) Paroxysmal exercise-induced dystonia as a presenting feature of young-onset Parkinson’s disease. Mov Disord 18:1545–1547PubMedCrossRefGoogle Scholar
  3. 3.
    Duarte J, Sempere AP, Coria F, Clavería LE, Frech FA, Mataix AL, Martinez E (1995) Isolated idiopathic adult-onset foot dystonia and treatment with botulinum toxin. J Neurol 242:114–115PubMedCrossRefGoogle Scholar
  4. 4.
    Greene P, Kang UJ, Fahn S (1995) Spread of symptoms in idiopathic torsion dystonia. Mov Disord 10:143–152PubMedCrossRefGoogle Scholar
  5. 5.
    Kim JS, Lee KS, Ko YJ, Ko SB, Chung SW (2003) Idiopathic foot dystonia treated with intramuscular phenol injection. Parkinsonism Relat Disord 9:355–359PubMedCrossRefGoogle Scholar
  6. 6.
    Koller WC (1984) Adult-onset foot dystonia. Neurology 34:703PubMedGoogle Scholar
  7. 7.
    Lo SE, Frucht SJ (2007) Is focal task-specific dystonia limited to the hand and face? Mov Disord 22:1009–1011PubMedCrossRefGoogle Scholar
  8. 8.
    Martino D, Macerollo A, Abbruzzese G, Bentivoglio AR, Berardelli A, Esposito M, Fabbrini G, Girlanda P, Guidubaldi A, Liguori R, Liuzzi D, Marinelli L, Morgante F, Sabetta A, Santoro L, Defazio G (2010) Lower limb involvement in adult-onset primary dystonia: frequency and clinical features. Eur J Neurol 17:242–246PubMedCrossRefGoogle Scholar
  9. 9.
    McKeon A, Matsumoto JY, Bower JH, Ahlskog JE (2008) The spectrum of disorders presenting as adult-onset focal lower extremity dystonia. Parkinsonism Relat Disord 14:613–619PubMedCrossRefGoogle Scholar
  10. 10.
    Schneider SA, Edwards MJ, Grill SE, Goldstein S, Kanchana S, Quinn NP, Bhatia KP, Hallett M, Reich SG (2006) Adult-onset primary lower limb dystonia. Mov Disord 21:767–771PubMedCrossRefGoogle Scholar
  11. 11.
    Shimizu T, Shiraishi M, Hirayama T, Sugihara H, Takahashi Y (2002) A case of a middle-age man with equinovarus movement at the end of the swing phase of walking. Rinsho Shinkeigaku 42:895–897 (article in Japanese)PubMedGoogle Scholar
  12. 12.
    Singer C, Papapetropoulos S (2006) Adult-onset primary focal foot dystonia. Parkinsonism Relat Disord 11:459–463Google Scholar
  13. 13.
    Wu LJ, Jankovic J (2006) Runner’s dystonia. J Neurol Sci 251:73–76PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Jose Fidel Baizabal Carvallo
    • 1
    • 2
    Email author
  • Marie Vidailhet
    • 1
    • 2
    • 3
  1. 1.Fédération de NeurologieAP-HP, Groupe Hospitalier Pitié-SalpêtrièreParis CedexFrance
  2. 2.Université Pierre Marie Curie-Paris-6ParisFrance
  3. 3.CRICM UPMC/Inserm UMR_S 975, CNRS UMR 7225ParisFrance

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