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J Neurol Neurosurg Psychiatry 70:247-251 doi:10.1136/jnnp.70.2.247
  • Short report

Analysis of stimuli triggering attacks of paroxysmal dystonia induced by exertion

Efficacy of different stimuli and manoeuvres in triggering PED attacks

Type of stimulus Onset of PED
after begin of stimulation(s)
Overlasting of PED after end of stimulation(s) Severity of PED1-150
Thermal stimulus to palm of the hand (−5°C) No reaction
Brushing of palm of the hand No reaction
Voluntary contraction of forearm muscles 300 300 +++
Passive movement:
 Distal interphalangeal joint 260 80 +
 Wrist 80 420 ++
Electrical stimulation:
 Finger (ring electrode) 60 120 +
 Wrist 230 180 ++
Magnetic stimulation:
 Motor cortex 135 240 ++
 Brachial plexus 135 ++
Sham magnetic stimulation over the motor cortex No reaction
Vibration of forearm flexors:
 100 Hz 55 400 +++
 50 Hz 15 320 +++
  • 1-150 Mild (+), medium (++), maximal (+++).

  • 1-151 Not measured.

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