Dystonia is a recognised extrapyramidal complication of multiple system atrophy that adds significant clinical burden and warrants targeted management.
This protocol applies to patients with multiple system atrophy who present with dystonia — involuntary co-contraction of agonist and antagonist muscles producing abnormal posturing, twisting, and repetitive movements.
Dystonia, an involuntary contraction of agonist and antagonist muscles resulting in abnormal posturing, twisting, and repetitive movements, is a common extrapyramidal symptom in patients with multiple system atrophy.
Symptomatic relief of dystonia has also been reported with anticholinergics, amantadine, dopamine agonists, and muscle relaxants.
DOI: 10.1212/cont.0000000000001598
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