Dystonia is a movement disorder in which your muscles contract involuntarily, causing repetitive or twisting movements.
The condition can affect one part of your body (focal dystonia), two or more adjacent parts (segmental dystonia) or all parts of your body (general dystonia). The muscle spasms can range from mild to severe. They may be painful, and they can interfere with your performance of day-to-day tasks.
There's no cure for dystonia. But medications can improve symptoms. Surgery is sometimes used to disable or regulate nerves or certain brain regions in people with severe dystonia.
Dystonia affects different people in varying ways. Muscle contractions might:
- Begin in a single area, such as your leg, neck or arm. Focal dystonia that begins after age 21 usually starts in the neck, arm or face and tends to remain focal or segmental.
- Occur during a specific action, such as handwriting.
- Worsen with stress, fatigue or anxiety.
- Become more noticeable over time.
Areas of the body that can be affected include:
- Neck (cervical dystonia). Contractions cause your head to twist and turn to one side, or pull forward or backward, sometimes causing pain.
- Eyelids. Rapid blinking or involuntary spasms cause your eyes to close (blepharospasms) and make it difficult for you to see. Spasms usually aren't painful but might increase when you're in bright light, under stress or interacting with people. Your eyes might feel dry.
- Jaw or tongue (oromandibular dystonia). You might experience slurred speech, drooling, and difficulty chewing or swallowing. Oromandibular dystonia can be painful and often occurs in combination with cervical dystonia or blepharospasms.
- Voice box and vocal cords (spasmodic dystonia). You might have a tight or whispering voice.
- Hand and forearm. Some types of dystonia occur only while you do a repetitive activity, such as writing (writer's dystonia) or playing a specific musical instrument (musician's dystonia).
When to see a doctor
Early signs of dystonia often are mild, occasional and linked to a specific activity. See your doctor if you're experiencing involuntary muscle contractions.
The exact cause of dystonia isn't known. But it might involve altered nerve-cell communication in several regions of the brain. Some forms of dystonia are inherited.
Dystonia also can be a symptom of another disease or condition, including:
- Parkinson's disease
- Huntington's disease
- Wilson's disease
- Traumatic brain injury
- Birth injury
- Brain tumor or certain disorders that develop in some people with cancer (paraneoplastic syndromes)
- Oxygen deprivation or carbon monoxide poisoning
- Infections, such as tuberculosis or encephalitis
- Reactions to certain medications or heavy metal poisoning
Depending on the type of dystonia, complications can include:
- Physical disabilities that affect your performance of daily activities or specific tasks
- Difficulty with vision that affects your eyelids
- Difficulty with jaw movement, swallowing or speech
- Pain and fatigue, due to constant contraction of your muscles
- Depression, anxiety and social withdrawal
Dystonia care at Mayo Clinic
Aug. 10, 2018
- Comella C. Classification and evaluation of dystonia. http://www.uptodate.com/home. Accessed Sept. 30, 2015.
- Flint PW, ed. Neurologic disorders of the larynx. In: Cummings Otolaryngology: Head and Neck Surgery. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed Sept. 30, 2015.
- Jinnah HA, et al. Diagnosis and treatment of dystonia. Neurologic Clinics. 2015;33:77.
- Comella C. Treatment of dystonia. http://www.uptodate.com/home. Accessed Sept. 30, 2015.
- Frontera WR, et al., eds. Cervical dystonia. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed Sept. 30, 2015.
- Yanoff M, et al., eds. Essential blepharospasm. In: Ophthalmology. 4th ed. Edinburgh, U.K.: Mosby Elsevier;; 2014. http://www.clinicalkey.com. Accessed Sept. 30, 2015.
- Khan J, et al. Oromandibular dystonia: Differential diagnosis and management. Journal of the American Dental Association. 2015;146:690.
- AskMayoExpert. Cervical dystonia. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
- Ferri FF. Neurology. In: Ferri's Practical Guide: Fast Facts for Patient Care. 9th ed. Philadelphia, Pa.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed Sept. 30, 2015.
- Prudenta CN, et al. Dystonia as a network disorder: What is the role of the cerebellum? Neuroscience. 2014;260:23.
- Dystonias fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/dystonias/detail_dystonias.htm. Accessed Sept. 30, 2015.
- Mills KA, et al. Neuromodulation for dystonia: Target and patient selection. Neurosurgery Clinics of North America. 2014;25:59.
- Yoga. National Center for Complementary and Integrative Health. https://nccih.nih.gov/health/yoga. Accessed Sept. 30, 2015.
- Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. March 12, 2018.
- Bellamkonda E (expert opinion). Mayo Clinic, Rochester, Minn. May 18, 2018.