Cervical Dystonia - Phenomenology Atlas

Cervical Dystonia - Phenomenology Atlas

Video 12.165 (C12c165): Cervical Dystonia, Predominantly Torticollis
Right torticollis activated by speaking, improved by touching the chin and demonstrating the "closing-the-loop" sensory trick phenomenon.

Video 12.166 (C12c166): Left Rotational Cervical Dystonia
Jerky left torticollis relieved by speech and by touching the forehead or cheek.

Video 12.167 (C12c167): Cervical Dystonia with State Function Behavior
Rightward torticollis improved by chin sensory geste and partially normalized while running.

Video 12.168 (C12c168): Severe Rotational Torticollis
Marked rightward torticollis improved by sensory tricks and significantly ameliorated during running.

Video 12.169 (C12c169): Torticollis with Laterocollis
Rightward torticollis and leftward tilt relieved by leaning the head against a wall or touching the chin.

Video 12.170 (C12c170): Cervical Dystonia with Sternocleidomastoid Hypertrophy
Left torticollis and right tilt accompanied by prominent hypertrophy of the right sternocleidomastoid muscle.

Video 12.171 (C12c171): Cervical Dystonia with Imagined Geste
Left turn and right tilt improved by both actual and imagined sensory tricks.

Video 12.172 (C12c172): Cervical Dystonia with Dystonic Tremor
Jerky head tremor with left torticollis and right tilt relieved by touching the posterior neck.

Video 12.173 (C12c173): Mixed Torticollis and Laterocollis
Leftward turn and right tilt improved by facial sensory tricks and support against a wall.

Video 12.174 (C12c174): Cervical Dystonia with Mild Dystonic Tremor
Combined torticollis, laterocollis, and head tremor responding to sensory gestes.

Video 12.175 (C12c175): Task-Activated Cervical Dystonia
Right torticollis and left tilt markedly worsened by texting and writing.

Video 12.176 (C12c176): Cervical Dystonia with Ponytail Geste
Left turn and right tilt relieved by touching the face or pulling a ponytail.

Video 12.177 (C12c177): Cervical Dystonia with Nasal Sensory Trick
Leftward turn and right tilt partially improved by pinching the nose.

Video 12.178 (C12c178): Fixed Cervical Dystonia
Right torticollis and left tilt with restricted range of motion and diminished response to prior sensory tricks.

Video 12.179 (C12c179): Cervical Dystonia with Marked Muscle Hypertrophy
Left torticollis and tilt associated with striking sternocleidomastoid enlargement.

Video 12.180 (C12c180): Severe Cervical Dystonia
Forceful leftward turn, right tilt, and shoulder elevation with marked improvement after botulinum toxin treatment.

Video 12.181 (C12c181): Evolving Cervical Dystonia Pattern
Initially left-sided torticollis evolving over time into right torticollis with dystonic tremor.

Video 12.182 (C12c182): Cervical Dystonia with Lateral Shift
Leftward torticollis associated with lateral head shift and mild retrocollis.

Video 12.183 (C12c183): Shift-Predominant Cervical Dystonia
Marked torticollis and lateral shift dramatically relieved by sensory tricks and running.

Video 12.184 (C12c184): Predominant Anterocollis
Forward neck flexion producing significant disability during standing and walking.

Video 12.185 (C12c185): Anterocollis with Sensory Gestes
Forward neck flexion improved by touching the forehead or chin.

Video 12.186 (C12c186): Progressive Anterocollis
Anterocollis associated with rotational and tilt components activated during gait.

Video 12.187 (C12c187): Complex Anterocollis
Anterocollis with torticollis and laterocollis demonstrating sensory tricks and improvement while running.

Video 12.188 (C12c188): Severe Retrocollis
Marked neck extension relieved by manually supporting the forehead.

Video 12.189 (C12c189): Walking-Induced Retrocollis
Jerky retrocollic movements becoming most apparent during ambulation.

Video 12.190 (C12c190): Retrocollis with Sensory Tricks
Retrocollis improved by chin touch, wall contact, and closing-the-loop maneuver.

Video 12.191 (C12c191): Mild Retrocollis with Torticollis
Retrocollis accompanied by leftward turn and left shoulder elevation.

Video 12.192 (C12c192): Retrocollis Activated by Writing
Retrocollis and torticollis worsened by writing and improved during walking.

Video 12.193 (C12c193): Retrocollis with Imagined Sensory Trick
Significant improvement using both real and imagined gestes.

Video 12.194 (C12c194): Retrocollis Controlled by External Supports
Retrocollis relieved by facial sensory tricks and a customized “sensory trick hat.”

Video 12.195 (C12c195): Shift-and-Turn Cervical Dystonia
Rightward torticollis associated with anterior head shift.

Video 12.196 (C12c196): Cervical Dystonia with Dystonic Tremor and Shift
Right torticollis and anterior shift normalized during running.

Video 12.197 (C12c197): Severe Shift Dystonia
Marked left torticollis and lateral shift improved by a mechanical support device.

Video 12.198 (C12c198): Anterior Head Shift Syndrome
Anterior translation with retrocollis demonstrating both positive and negative sensory tricks.

Video 12.199 (C12c199): Dystonic Head Tremor
Irregular multidirectional head tremor relieved by sensory gestures and null-point positioning.

Video 12.200 (C12c200): Dystonic Tremor with Torticollis
Jerky horizontal head tremor accompanying right torticollis.

Video 12.201 (C12c201): Severe Dystonic Head Tremor
Prominent head tremor partially controlled by manual stabilization.

Video 12.202 (C12c202): Complex Cervical Dystonic Tremor
Multidirectional jerky head oscillations markedly improved by sensory tricks.

Video 12.203 (C12c203): Closing-the-Loop Phenomenon
Demonstration of cervical dystonia sensory tricks requiring active patient-generated sensory feedback.