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Monday, 12 December 2011 12:19

Dystonia Medication

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My son age 1 yr 8 months has dystonea,h/o premature birth,(at 7 month) he is on physiotherapy.does he require any medicines?


Ans: Hello,

Dystonia, a neuro-mascular disorder  (from Greek, meaning altered muscle tone) is usually defined as "a syndrome of sustained muscle contractions, frequently causing twisting and repetitive movements, or abnormal postures." (Fahn et. al., 1987). The movements are usually slow and sustained, and they often occur in a repetitive and patterned manner; however, they can be unpredictable and fluctuate. The frequent abnormal posturing and twisting can be painful and functionally disabling.

Dystonia requires multidisciplinary management including

  • Rehabilitative therapies
  • Oral medications
  • Neurochemolytic interventions
  • Surgery

Medication:
The judgement regarding the medication can be taken by the treating health care professional or specialist.
Several classes of drugs that affect different neurotransmitters may be effective for various forms of dystonia. These medications are used “off-label”, meaning they are approved by the U.S. Food and Drug Administration to treat different disorders or conditions but have not been specifically approved to treat dystonia.  The response to drugs varies among individuals and even in the same person over time. These drugs include Anticholinergic agents, benzodiazepams, antiparkinsonism drugs, anticonvulsants, baclofen, carbamazepine, and lithium. Systemic medications benefit about one third of patients and consist of a wide variety of options

However, In case of your child we would suggest you to consult a Neuro physician. You can also consult our neurophysician for second opinion and treatment of action.

Additional therapies:
Physical therapy techniques such as Massage, slow stretching, and physical modalities (eg, ultrasonography, biofeedback) are found helpful in somecases of  focal or regional dystonias. Patients with generalized dystonia often benefit from gait and mobility training, as well as from instruction in the use of assistive devices.

Reference: http://emedicine.medscape.com/article/312648-overview#a11

http://www.ninds.nih.gov/disorders/dystonias/detail_dystonias.htm 

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Online consultation with Neurophysician 

Read 9410 times Last modified on Monday, 12 December 2011 13:21

1 comment

  • Comment Link Dr. Danny Devasy Monday, 12 December 2011 13:19 posted by Dr. Danny Devasy

    Kindly send in the scanned report of the child to us. We have specialty clinics on neurological develeopment for children at our Ayurveda hospital where in our Consultant Pediatrician,Dr. Santhosh and our team of Ayurveda Doctors Dr. Rajeev & Dr. Sridevi Warrier offer solutions for such problems. We also have inhouse occupational and physiotherapy unit as well catering to such problems. for details, http://www.avnswasthya.com

    Thank you.

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