Idiopathic generalized dystonia

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Idiopathic generalized dystonia is a group of neurodegenerative diseases primarily charecterized by dystonic hyperkinetic disorder (irregular slow involuntary movements of different body parts accompanied by specific muscle tone changes and pathological poses). A 54-year-old female was admitted with various complaints. The leading syndrome was extrapyramidal due to which the differential diagnosis included Parkinson’s disease, multiple system atrophy, corticobasal degeneration, etc. The diagnosis of idiopathic generalized dystonia, in the form of lower extremity hyperkinesia with dystonic equinus of the left foot and hallux extension and cheirospasm, was made by a method of exclusion. The clinical case described in the article illustrates variety of clinical manifestations of the disease imitating clinical presentation of various neurological and psychiatric disorders, complexity of diagnostic search and importance of timely diagnosis of this disease.

A R Khakimova
City Clinical Hospital №7; Kazan State Medical University; Scientific Research Medical Complex «Your Health» Kazan, Russia; Kazan, Russia

K B Timorshina
City Clinical Hospital №7 Kazan, Russia

E Z Yakupov
Kazan State Medical University; Scientific Research Medical Complex «Your Health»; Educational Center «Your Health» Kazan, Russia; Kazan, Russia; Kazan, Russia

N A Popova
City Clinical Hospital №7 Kazan, Russia

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© 2017 Khakimova A.R., Timorshina K.B., Yakupov E.Z., Popova N.A.

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Свидетельство о регистрации СМИ ЭЛ № ФС 77-70434 от 20 июля 2017 года выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор)