“Spooning”: A subtle sign of limb dystonia

Christine Y. Kim, Elan D. Louis

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Background: The diagnosis of dystonia can be clinically challenging due to its heterogeneous presentation; essential tremor (ET) is a more common neurological disorder, but may be mimicked by other movement disorders, including dystonia, leading to misdiagnosis. Phenomenology Shown: In three patients with hand tremor, two with prior diagnoses of ET, we present examples of ‘‘spooning’’ of the hands, characterized by wrist flexion and metacarpophalangeal hyperextension. Educational value: Subtle dystonic features such as ‘‘spooning’’ may be present during the evaluation of patients with tremor and aid in the diagnosis of dystonia.

Original languageEnglish (US)
JournalTremor and Other Hyperkinetic Movements
StatePublished - Jan 1 2018
Externally publishedYes


  • Dystonia
  • Essential tremor

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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