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Writer's cramp--analysis of 15 cases
A H Firoz1, M A Sobhan, T Islam
1Department of Psychiatry, Dhaka Medical College Hospital.
Bangladesh Medical Research Council Bulletin
|August 1, 1995
Summary
Writer's cramp prognosis improved significantly in younger patients with early onset and fewer obsessional traits after 12 weeks of treatment. Drug, psychotherapy, and behavior therapy were effective interventions for these individuals.
Area of Science:
- Neurology
- Psychiatry
Background:
- Writer's cramp is a focal dystonia affecting handwriting.
- Obsessional personality traits may be associated with writer's cramp.
- Limited data exists on the long-term prognosis and treatment outcomes.
Purpose of the Study:
- To evaluate the 12-week treatment prognosis of writer's cramp.
- To identify factors influencing treatment response in writer's cramp patients.
Main Methods:
- A cohort of 15 male patients diagnosed with writer's cramp was studied.
- Treatment involved a combination of pharmacotherapy, psychotherapy, and behavior therapy.
- Patient outcomes were assessed after a 12-week treatment period.
Main Results:
- Younger patients with earlier symptom onset demonstrated significant improvement.
- Individuals with less pronounced obsessional features showed better treatment response.
- The combined treatment approach yielded positive outcomes in eligible patients.
Conclusions:
- Early intervention and treatment targeting specific patient profiles can improve writer's cramp prognosis.
- Pharmacotherapy, psychotherapy, and behavior therapy are effective in managing writer's cramp.
- Understanding pre-morbid personality traits may aid in predicting treatment success.