Could hormones trigger or worsen cervical dystonia?

Question

Hi doctor,

I am a 36-year-old woman, and for the past few months, I have been experiencing uncontrollable neck spasms that pull my head to the side. My neurologist mentioned that it might be cervical dystonia. It is painful, and embarrassing, and has started to affect my ability to work and even drive.

I have also developed anxiety due to how visible the movements are. What causes this condition, and is it treatable? I have read about Botox injections. Are there any long-term side effects for women? Could this be related to hormonal changes? Please explain in simple, layman’s terms: what exactly is happening in my brain and body, and how can I regain control?

Please help me.

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

Cervical dystonia is a neurological disorder caused by abnormal signals in a part of the brain called the basal ganglia. It is not a problem with the muscles themselves; your muscles are healthy.

There are several possible causes, including idiopathic (no known cause), trauma, infection, stress, certain medications, and hormonal changes. Since you are in your late 30s, it may be related to premenopausal hormonal changes.

Cervical dystonia is treatable, though not curable. It can be managed with Botox injections, which typically begin to work within 3 to 10 days and last for about 3 to 4 months. Botox is generally safe, but some side effects, such as muscle thinning and resistance, can occur. However, long-term effects in women are very rare.

Other treatment options include physical therapy, medications, sensory tricks, counseling, and in some cases, deep brain stimulation (DBS).

I hope this answer helps you.

Thank you.