Tremor and Other Hyperkinetic Movements, 2017/01, 7. doi: 10.7916/D8NP24XB, type of study: ,cr,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Free full text   (https://tremorjournal.org/article/10.5334/tohm.354/)

Keywords:

tremor [6]
cervical dystonia [8]
torticollis [22]
osteopathic manipulative treatment [3946]
OMT [3925]
cranio cerebral trauma [1]
movement disorders [3]
cervical spine [320]
botulinum toxins [2]
case study [5]

Abstract:

Background: Cervical dystonia, also known as spasmodic torticollis, is a chronic disorder in which patients exhibit involuntary repetitive contractions of neck muscles resulting in abnormal postures or movements. Occasionally, there is also a dystonic head tremor. The underlying mechanisms for cervical dystonia and dystonic tremor are not clear, and treatments are limited. Case Report: In the present cases, two females with head tremor starting in adolescence developed worsening symptoms of cervical dystonia with dystonic tremor in their 60s. On osteopathic physical examination, both had a vertical type strain to the sphenobasilar synchondrosis. Discussion: Vertical strains are more frequently found in patients after head trauma, congenital or later in life, than in healthy patients, and head trauma may have been a precipitating factor in these patients. There were improvements in cervical dystonia symptoms, including tremor, in both patients after osteopathic manual treatment. © 2017 Halimi et al.