We Must Talk about Sex and Focal Dystonia. Issue 3 (27th January 2021)

• Record Type: Journal Article
• Authors: Rafee, Shameer; O'Riordan, Sean; Reilly, Richard; Hutchinson, Michael
• Is Part Of: Movement disorders. Volume 36:Issue 3(2021)
• Page Start: 604
• Page End: 608
• Publication Date: 2021-01-27
• Subjects: dystonia -- basal ganglia -- cervical -- superior colliculus -- sex differences; Movement disorders -- Periodicals; 610
• DOI: 10.1002/mds.28454
• Languages: English
• ISSNs: 0885-3185

Abstract

Abstract: In a recent workshop on "Defining research priorities in dystonia, ", there was absolutely no reference to sex as a factor in disease pathogenesis. In this viewpoint paper, we argue that the most distinctive aspects of adult onset isolated focal dystonia are the marked sex‐related differences demonstrated by epidemiological, clinical, and laboratory studies in patients with adult onset dystonia, particularly in cervical dystonia, the most common presentation. We propose that the future focus of research should be on neurobiological mechanisms underlying the profound sexual dimorphism in this disorder. Targeting research into gamma aminobutyric acid (GABA)ergic function, which also shows similar sexual dimorphism, would be most productive in elucidating the pathogenesis of adult onset dystonia. © 2021 International Parkinson and Movement Disorder Society