BMJ Case Reports 2011; doi:10.1136/bcr.05.2011.4214
  • Rare disease

Management of DYT1 dystonia throughout pregnancy

  1. Michael Morcos3
  1. 1University College London, London, UK
  2. 2Sobell Department of Motor Neuroscience and Movement Disorders, National Hospital for Neurology and Neurosurgery, London, UK
  3. 3Department of Obstetrics and Gynaecology, Chase Farm Hospital, London, UK
  1. Correspondence to Mr Sathiji Nageshwaran, zchabq4{at}


A 30-year-old woman with generalised DYT1 dystonia, controlled with medication, presented at 9 weeks gestation with an unplanned pregnancy. A number of learning points were highlighted in management of the patient’s dystonia alongside pregnancy including avoidance of excessive medication exposure to the fetus, while maintaining symptom control to a level acceptable and safe for the patient and prenatal diagnostic testing. In our case there was no overt ill effect to the newborn. This is a common worry among pregnant women with dystonia and as such the authors felt it important to report.


  • Competing interests None.

  • Patient consent Obtained.

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