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Editorial commentary
Mind over motor
  1. Jinyoung Youn1,2,3,4,
  2. Alfonso Fasano3,4,5
  1. 1 Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
  2. 2 Neuroscience Center, Samsung Medical Center, Seoul, South Korea
  3. 3 Edmond J. Safra Program in Parkinson’s Disease, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada
  4. 4 Division of Neurology, University of Toronto, Toronto, Ontario, Canada
  5. 5 Krembil Brain Institute, Neuroscience, Toronto, Ontario, Canada
  1. Correspondence to Dr Alfonso Fasano, Movement Disorders Centre, Toronto Western Hospital, Toronto, Ontario, Canada; alfonso.fasano{at}gmail.com

https://doi.org/10.1136/jnnp-2020-326002

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    Quality of life in dystonia largerly depends on the occurrence and severity of non-motor symptoms

    In the paper by Junker et al, the contributors to quality of life (QoL) were investigated in a large sample of 603 subjects with isolated idiopathic dystonia.1 Dystonia is classically seen as a motor disorder and this mirrors the characteristics of available disease severity scales and treatment options. However, research over the last decade has shown that treatment strategies merely focused on the management of motor manifestations do not guarantee an improvement of QoL, the real target of our interventions.

    Various non-motor symptoms (NMS) are highly prevalent in dystonia and sometimes even define its diagnostic definitions, such as in Myoclonus-Dystonia.2 Many studies …

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    Footnotes

    • Contributors JY wrote the first draft of the manuscript. AF revised and wrote the final draft.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.

    Linked Articles

    • Movement disorders
      Quality of life in isolated dystonia: non-motor manifestations matter
      Johanna Junker Brian D Berman James Hall Deena W Wahba Valerie Brandt Joel S Perlmutter Joseph Jankovic Irene A Malaty Aparna Wagle Shukla Stephen G Reich Alberto J Espay Kevin R Duque Neepa Patel Emmanuel Roze Marie Vidailhet H.A. Jinnah Norbert Brüggemann
      Journal of Neurology, Neurosurgery & Psychiatry 2021; 92 622-628 Published Online First: 09 Feb 2021. doi: 10.1136/jnnp-2020-325193