Document Detail

Musician's cramp: a case report and literature review.
MedLine Citation:
PMID:  16357776     Owner:  NLM     Status:  MEDLINE    
Musician's focal dystonia is a motor dysfunction that appears in artists after years of repetitive and fine movements during performance. This is the condition most feared by musicians because it leads to difficulties in controlling movements, which can interrupt or terminate their careers. It is characterized by the onset of involuntary muscle contractions and movements; its distinguishing feature is that it only occurs during a specific and well-defined action. It is rarely diagnosed because those who experience it do not seek medical attention for fear or shame, but also because many physicians do not consider the disease in the differential diagnosis of motor dysfunction. We describe the case of a guitarist who presented to our outpatient clinic after many years of experiencing musician's focal dystonia. He reported a long list of misdiagnoses and a variety of unsuccessful treatments.Musician's focal dystonia is an under-diagnosed condition. Treatment benefit is limited despite recent innovative approaches. Rheumatologist should be aware of this condition.
Alfonso Vargas Rodríguez; Min Kooh; Luis Amezcua Guerra; Manuel Martínez-Lavín; Carlos Pineda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases     Volume:  11     ISSN:  1076-1608     ISO Abbreviation:  J Clin Rheumatol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-12-16     Completed Date:  2006-02-07     Revised Date:  2008-04-10    
Medline Journal Info:
Nlm Unique ID:  9518034     Medline TA:  J Clin Rheumatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  274-6     Citation Subset:  IM    
Instituto Nacional de Cardiología Ignacio Chávez, Mexico City, Mexico.
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MeSH Terms
Diagnostic Errors
Dystonic Disorders / diagnosis*
Lipomatosis / diagnosis
Middle Aged
Occupational Diseases / diagnosis*
Soft Tissue Neoplasms / diagnosis

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