Document Detail


A 9-year review of dystonia from a movement disorders clinic in Singapore.
MedLine Citation:
PMID:  16420396     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical features of dystonia have not been evaluated in Southeast Asia. We therefore investigated the clinical spectrum and characteristics of dystonia in Singapore, a multi-ethnic Southeast Asian country comprising 77% Chinese, 14% Malays, and 8% Indians. We identified all dystonia patients from the Movement Disorders database and Botulinum Toxin clinic between 1995 and November 2004. Their medical records were reviewed to verify the diagnosis of dystonia and obtain demographic and clinical data using a standardized data collection form. A total of 119 (73%) patients had primary dystonia whilst 45 (27%) had secondary dystonia. There were 77% Chinese, 9% Malays, and 8% Indians. The most common focal dystonia were cervical dystonia (47%), writer's cramp (32%), and blepharospasm (11%). There was no significant difference in the distribution of dystonia between the different races. Males were noted to have earlier onset of dystonia overall. There was a significant male predominance in primary dystonia overall (M:F 1.6:1, P=0.008) and in the subgroup of focal dystonia (M:F 1.6:1, P=0.037). This contrasts with previous studies that found a female predominance. The role of genetic, hormonal, and environmental factors and their interactions need to be investigated to better understand the gender differences in the occurrence of dystonia.
Authors:
R D G Jamora; A K Y Tan; L C S Tan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  European journal of neurology : the official journal of the European Federation of Neurological Societies     Volume:  13     ISSN:  1351-5101     ISO Abbreviation:  Eur. J. Neurol.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-19     Completed Date:  2006-04-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9506311     Medline TA:  Eur J Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  77-81     Citation Subset:  IM    
Affiliation:
Department of Neurology, National Neuroscience Institute-TTSH Campus, Singapore.
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MeSH Terms
Descriptor/Qualifier:
Dystonic Disorders / epidemiology*,  etiology*
Female
Humans
Male
Movement Disorders / complications*,  epidemiology*
Sex Factors
Singapore / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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