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A In patients with dystonia, there is an abnormally high facilitation to inhibition ratio leading to the excessive movement. Tactile and Proprioceptive Stimuli Physical stimulation by the patient himself is the most common trick, and usually the most effective; but it is not always necessary. Ann N Y Acad Sci. Sensory tricks result in decreased electromyographic activity in dystonic muscles, which is the physiological correlate of the reduction in dystonia. Imaging Studies A positron emission tomography and electromyogram study of seven cases of sensory trick-responsive cervical dystonia revealed that sensory tricks increased parietal and bilateral visual cortex activation, with concomitant deactivation of the contralateral supplementary motor area and primary sensorimotor cortices.


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Tricks in dystonia: ordering the complexity

Is dystonia a sensory disorder? The multiple and heterogenous features was were misinterpreted as indicative of a psychogenic etiology. Grimacing, laughing, loud background noise[ 38 ].

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On the basis of this information, we propose a new classification of sensory tricks to include its variants. Forcible tricks with counterpressure to the cheek, temple, chin, back of head, mastoid, forehead[ 2717 ]. It is unclear what processing links these two events. Common characteristics are well known, but their variety is wide, sensory stimulation is not necessarily the critical feature, and their physiology is unknown. The publisher's final edited version of this article is available at J Neurol Neurosurg Psychiatry.

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