{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:57:15Z","timestamp":1791161835943,"version":"4.1.0"},"reference-count":16,"publisher":"S. Karger AG","issue":"5-6","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Neurol"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; The characteristics of writer's cramp (WC) may vary according to native languages and scripts. We report the clinical profile of a large cohort of patients with WC from India. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; A chart review of 125 patients (F:M = 16:109) with WC seen over 10 years at the National Institute of Mental Health and Neurosciences (NIMHANS), India. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; The mean age of patients was 36.8 \u00b1 14.3, the mean age at onset (AAO) of symptoms was 31.5 \u00b1 2.7 and the mean duration of difficulty in writing was 5.3 \u00b1 6.3. The most common presenting complaint while writing was pain in the forearm (56%), followed by tremulousness of hand (28.8%) and abnormal posturing of hand (15.2%). Along with writing difficulty, 5.6% had difficulty in typing. The mean AAO of writing difficulty was significantly earlier in women than in men (22.8 \u00b1 3.5 vs. 32.8 \u00b1 4.2 years, p &lt; 0.001). While writing, excessive extension (41.6%) of wrist was the most common abnormality, followed by excessive flexion (37.6%) and extension (19.2%) of index finger. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; Women with WC have a significantly earlier age of onset than men. Excessive extension of wrist with flexion of thumb and index finger were the most common abnormalities noted in WC.<\/jats:p>","DOI":"10.1159\/000381949","type":"journal-article","created":{"date-parts":[[2015,5,28]],"date-time":"2015-05-28T21:20:18Z","timestamp":1432848018000},"page":"316-320","source":"Crossref","is-referenced-by-count":20,"title":["A Clinical Profile of 125 Patients with Writer's Cramp"],"prefix":"10.1159","volume":"73","author":[{"given":"Ketan","family":"Jhunjhunwala","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Lenka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramod Kumar","family":"Pal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2015,5,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71080-1"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/105.3.461"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870120411"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jht.2008.12.003"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2007.01.009"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1002\/mds.1094"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23504"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s004150070094"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.60.2.204"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2003.032227"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21446"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870020205"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.38.4.522"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awn363"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000266591.49624.1a"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1002\/ana.20113"}],"container-title":["European Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/381949","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/381949","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/381949","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:59:42Z","timestamp":1745431182000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000381949"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":16,"journal-issue":{"issue":"5-6","published-online":{"date-parts":[[2015,6,1]]},"published-print":{"date-parts":[[2015,6,23]]}},"URL":"https:\/\/doi.org\/10.1159\/000381949","archive":["Portico"],"relation":{},"ISSN":["0014-3022","1421-9913"],"issn-type":[{"value":"0014-3022","type":"print"},{"value":"1421-9913","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}