Table 1

 Clinical findings in affected individuals from M-D families 1–10

FamilyFHPedigree numberAge of onset (years)SexMyoclonic symptomsDystonic symptomsUnusual featuresResponse to alcoholGenetic findings
Index patients are in bold.
FH, family history; NA, not available.
1+III.14FLeft arm, head, and to a minor degree of right armLaterocollis, foot dystoniaNoneNot tested966delT (SGCE)
III.2 9FHead and upper extremities (L>R)LaterocollisNoneNot tested966delT (SGCE)
II.310FMild to moderate; right armNoneNoneNot testedNo DNA available
II.49FRight leg; mild action myoclonus of both armsRight foot dystoniaProminent leg involvementNot testedNo DNA available
II.513FHead during stressNoneNoneNot testedNo DNA available
I.1∼15MHead; action myoclonus of both armsScoliosis (axial dystonia)NoneNot testedNo DNA available
2+III.214FBoth hands; prominent myoclonus of both legsRight foot dystoniaProminent leg involvementPositiveNo DNA available
III.5 7FBoth handsNoneNonePositive179 A>G (SGCE)
II.112FMild; both armsRight laterocollis; dystonia of the right hand (particularly the thumb)NonePositive179 A>G (SGCE)
II.3∼10MBoth arms; action myoclonus of both legsRight laterocollis with bilateral hand dystoniaNonePositiveNo DNA available
II.515MMild; left hand (right hand amputated)NoneNonePositive179 A>G (SGCE)
3+ II.1 3MHead and handsLaterocollis, dystonic movements of abdominal musclesNoneNegativeNo mutation detected
I.222MHead and armsNoneNonePositiveNo mutation detected
I.311FRare; head; jerky postural hand tremorNoneNoneNot testedNo DNA available
I.514FNoneLaterocollis, followed by writer’s crampNoneNot testedNo DNA available
4+ III.2 13FFrequent; irregular; proximal; upper limbs, with deterioration on actionBoth arms and right footNonePositiveNo mutation detected
I.222FGeneralisedDiscreet dystonic posturing of upper extremitiesNoneNot testedNo mutation detected
I.5NAFHandsUnknownUnknownNot testedNo DNA available
5+III.27FNoneWriter’s cramp and intermittent lateral deviation of head while walkingNonePositiveNo mutation detected
II.1 7FProximal; upper extremities with action-provoked deteriorationLaterocollis, axial rotational dystoniaNonePositiveNo mutation detected
II.411MPostural and action myoclonus of both armsAxial and right arm dystoniaNoneNot testedNo DNA available
I.224FHead (when turning to the right)LaterocollisNoneNot testedNo mutation detected
6+ III.1 12MHead, trunk, and proximal muscles of both arms (R>L)Left laterocollis with torsion of the trunk to the right and mild dystonia of right legNonePositiveNo mutation detected
I.1∼10FHead; laryngeal myoclonusNoneNonePositiveNo DNA available
7+ II.2 20FHead and both arms (L>R)Left torticollis and dystonia of left handNonePositiveNo mutation detected
II.37FHead and both armsNoneNonePositiveNo DNA available
819MBoth armsTorticollis, dystonia of both armsNoneNegativeNo mutation detected
95FHead, both arms (R>L), laryngeal myoclonus, with infrequent action myoclonus of legsWriter’s cramp of right handNonePositiveNo mutation detected
109MMild in head and prominent, predominantly proximal in both arms (R>L)Writer’s cramp (initial symptom), mild dystonia of left handNonePositiveNo mutation detected