‘‘Spooning’’: A Subtle Sign of Limb Dystonia

Christine Y. Kim, Elan D. Louis

Research output: Contribution to journalArticlepeer-review

2 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)
Pages (from-to)1-2
Number of pages2
JournalTremor and Other Hyperkinetic Movements
StatePublished - 2018
Externally publishedYes


  • Dystonia
  • Essential tremor

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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