Relevant conflicts of interest/financial disclosures: Nothing to report.
Article first published online: 3 DEC 2012
Copyright © 2012 Movement Disorder Society
Volume 27, Issue 14, pages 1816–1819, December 2012
How to Cite
Mehanna, R. and Jankovic, J. (2012), Respiratory disorders associated with dystonia. Mov. Disord., 27: 1816–1819. doi: 10.1002/mds.25269
Full financial disclosures and author roles may be found in the online version of this article.
- Issue published online: 31 DEC 2012
- Article first published online: 3 DEC 2012
- Manuscript Accepted: 4 OCT 2012
- Manuscript Revised: 1 OCT 2012
- Manuscript Received: 17 APR 2012
- movement disorders
Respiratory difficulties are sometimes reported by patients with cranial-cervical and other forms of dystonia, but the nature or mechanisms of the breathing problems have not been well characterized.
We review 13 dystonic patients with various respiratory complaints and describe their symptoms and response to treatment, including botulinum toxin (BoNT) injections.
Gasping, stridor, interrupted flow of speech, paradoxical breathing, dyspnea on exertion, and other respiratory symptoms reported by patients suggest involvement of the upper airways, chest, and diaphragm. BoNT injections may be, at least partially, beneficial in some patients.
This series of patients draws attention to respiratory distress as a potentially serious, even life-threatening, complication of dystonia. © 2012 Movement Disorder Society