Doctor insights on:
How Long Does Dystonia Usually Last
Do cervical dystonia patients often have a long history of pre-existing neck problems, including significant stiffness that may last for days/weeks?
Often: It can begin sporadically then progress in stages. Depends on when it started, What are you taking for it? I've heard some good things about Botox-like injections for it. Maybe you could get some wrinkles removed at the same time! But, just make sure a doctor (like a neurologist) has cleared you for other possible causes of the stiffness!! ...Read more
How long will the difficulty swallowing after botox injection last that I received for cervical dystonia? Is this temporary?
It is temporary: The length of time this last will vary AT some usages will be effective for a month. Others will last two months and continue to be effective. You may well have to put up with this for several weeks 6-8 weeks. Call the doctor tomorrow in the AM and ask to be seen tomorrow. Be careful as eat as you could aspirate. Do not use a straw and take small amounts at a time. ...Read more
I had Botox injection for dystonia near my neck. Now I have difficulty swallowing. Is this a normal side effect and how long will it last?
A bit of a problem!: Because Botox weakens muscles, it may be that some of the medicine got into muscles you use for swallowing. The effect is usually about three months.... ...Read more
Valium: Valium can be used as a muscle relaxant and if a neurologist presribed it for your condition it can be taken daily and would be safe as long as you followed instructions and be seen regularly so that your condition and medication can be monitored. You shouldn't stop the medication abruptly nor change the dose on your own. ...Read more
About five days: Botox takes about 4-5 days to cause muscle relaxation in most areas. That's why most clinicins will have you return in two weeks to reevaluate treatment. Dosing can vary based on the muscle size and you would rather under treat than over treat. ...Read more
How long does Levodopa take to work with Dopamine-responsive dystonia? What's the usual dose for this?
Depends: There is a titration period where your body equilibrates with the new medicine which depends on the dose titration and goal dosage. If you're at those goals then you should be able to tell whether it's helping as Levodopa only lasts around 12 hours in your body ...Read more
I have been expericning acute dystonia for about 4 years. I just recently got Benadryl (diphenhydramine) and my symptoms have got better but they aren't gone. How long?
Sorry, you: Haven't provided us with adequate information to try to figure out the reason for the dystonia. You only have Benadryl (diphenhydramine) listed as a medication. Are you taking another medication that may have triggered the dystonic reaction? Encourage you to clarify this ; re-ask. Take care. ...Read more
How long does it take to rehab limb dystonia and restore all movement and "normality" to the limb?
Uncertainty: Dystonia may be defined as "a syndrome of sustained muscle contractions, frequently causing twisting and repetitive movement, or abnormal postures." (cardoza). The primary management approach for dystonia is pharmacologic, using systemic medications and botox. Unfortunately, most cases of focal dystonia develop reoccurrence even with treatment. ...Read more
9 month aftr TB meningitis my fiancee has mild dystonia wch disappears while she sleeps. Why? And it is also getting better in last months and also having mild hemiparesis. Are these sign of recovery
Healing: Dystonia and hemiparesis are common while recovering from TB meningitis and can improve totally or have some residual effect depending on the type and location of damage to the brain from the infection. I hope she had a ct scan or MRI to evaluate her brain which can help predict the amount of damage. People usually get worse while healing then slowly improve. ...Read more
Mechanic sir, my 22 yrs old fiancee recovered a lot physically in last 9 months after TB meningitis bt she has mild dystonia and hemiparesis which got better in past months, can I expect her recovery?
Age advantage: At 24, she has a far better chance to continue to achieve some degree of recovery, and typically, spontaneous brain healing will proceed for about 18-24 months after the acute event. Suspect she will always have some degree of dystonia and weakness, but this will be less apparent over next few months. Would use physical and occupational therapies to aid coping. Suspect continued improvement. ...Read more
I'm now hypothyroid plus I had cataract surgery last year. Is generalized dystonia related or playing a role to all these medical conditions?
Recommendations: It is conceivable you possess a genetic disorder causing your problems, and best you find out what has prompted your multiple problems. ...Read more
Could the fact that I have cervical dystonia account for the almost daily migrains that I live with? They start w/ocular migrain and develop over about 30 min time into full blown, knock your head against the wall, migrains that can last for days at a tim
Whether mild hemiparesis and mild dystonia due to TB meningitis can be cured? How long it's gonna take, it's been already 9 months for my 22 yr old fiancee and she still can't walk, will she be fine?
Everytime I swallow my neck contracts one side and gets stiff last few months. ENT normal. Head is even and X-ray cervical normal. Can it be dystonia?
Possibly: I assume by "ENT normal" you have been evaluated by an ENT with a full head & neck exam and fiberoptic laryngoscopy? A barium esophagram may also be helpful given the association with swallowing. Assuming all normal, I would see a neurologist who specializes in movement disorders. Botox injections can be helpful in cervical dystonia. Deep brain stimulation is also showing promise in severe cases. ...Read more
Currently seeing a cordio mitral valve trouble, enlarge heart Neuro for cervical dystonia Pulmonary since partial lung removal. Any relation to last?
High complexity: This is difficult. YOU MUST BE FOLLOWED BY AN EXPERT. ...Read more
Various factors: Genetics plays a role (e.g. Dyt-1 and many similar childhood onset dystonias, etc). It may also come about from injury to certain parts of the brain (esp. The basal ganglia areas) from stroke, head injury, toxic exposure, certain diseases, and other causes, but for many (esp. Most adults who develop dystonia) there is no clear cause. ...Read more
Many things: Dystonia is a neurologic syndrome characterized by sustained involuntary muscular activity producing sustained, abnormal and repetitive muscle contractions causing twisting movements, abnormal posture and functional disability. There are many different types and causes with different prognoses. Some remit, some stay the same and others get worse. ...Read more
Just modification: There are many forms of dystonia. Some cases are transient and resolve on their own. Some cases are progressive and get much worse over time. Some are modified with treatment. Some seem to disappear following procedures such as deep brain stimulation, but can recur. Muscle relaxant medications can help and food therapy techniques have been useful. Avoiding triggers is important. ...Read more
Unclear.: We do not understand the causes of dystonias at a mechanistic level. We do divide dystonias into two types: primary and secondary. In primary dystonia there is likely a genetic predisposition with an environmental trigger. Secondary dystonias are caused by trauma, brain disease or certain medications such as neuroleptics (major tranquilizers). ...Read more
Depends: Depending on the type of dystonia it can be made worse either by drugs that block Dopamine (e.g., neuroleptic medications such as haloperidol, risperidone, etc.) and certain antinausea medications (e.g., metoclopramide, etc) or drugs that enhance the effect of Dopamine such as levodopa. ...Read more
Depends on factors.: Get a good general physical and neurologic exam. Discuss the nature of your dystonia: age onset, bodily distribution, the progression, triggers, present at rest-any suppressing factors. History and family history will dictate other "tests." blood, spinal fluid, electrical recording techniques, biopsies, eye exam, and thorough neuro and possibly imaging studes may be considered. ...Read more
Abnormal contraction: Dystonia is often a somewhat generic term for abnormal muscle contraction. True dystonia is thought to be abnormal muscle contractions due to a problem in the spinal cord or brain. Sometimes the exact nature of the problem in the spinal cord or brain cannot be diagnosed. Mri is often used to try to help diagnose this. Any muscle in the body can develop this problem. ...Read more
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