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12/01/2009

Coexisting idiopathic cervical dystonia and primary vaginismus. A case report


Bertolasi L. Frasson E. Bottanelli M. Vicentini S. Didonè G. Graziottin A.
Coexisting idiopathic cervical dystonia and primary vaginismus: a case report
Journal of Neurology 2008 Mar; 255 (3): 443-5


Cervical dystonia is seldom associated with other focal dystonias. A patient with coexisting cervical dystonia and primary vaginismus led us to conjecture that primary vaginismus might be a form of dystonia.
A 32-year-old woman suffered from idiopathic right laterocollis. We recorded polymyography of the neck muscles, median nerve somatosensory evoked potentials (SEPs) and upper limb motor evoked potentials (MEPs). At age 38 the patient complained of introital pain during intercourse, vulvar pain and erythema diagnosed as type IV vaginismus complicated by vestibulitis. She also reported mild constipation...

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Keywords:
Cervical Dystonia - Sexual Pain Disorders - Electromyography - Hyperactive Pelvic Floor - Sexual Medicine - Vaginismus

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