case_images: PMC10999293_01
case_images: Family tree of our patient, showing the presence of similar symptoms of dystonia in other members of the family.
case_images: CRINM2024-8154006.001.jpg
case_images: PMC10999293_01_CRINM2024-8154006.001.jpg
case_images: fig1
case_images: There was strong genetic loading with similar symptoms in 1st and 2nd degree relatives. 2 elder sisters and 1 elder brother and maternal grandmother (Figure 1) had varying nature of symptomatic manifestation from mild gait disturbances to weakness of all 4 limbs and inability to hold body in appropriate posture and were bed ridden.
case_images: Posture of the foot before and after levodopa.
case_images: CRINM2024-8154006.002.jpg
case_images: PMC10999293_01_CRINM2024-8154006.002.jpg
case_images: fig2
case_images: There was plantar flexion and inversion of bilateral ankle joint with dorsiflexion of meta-tarso-phalangeal joint and flexion of inter-phalangeal joints (Figure 2).