Management of DYT1 dystonia throughout pregnancy

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.