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Muscle spasms also will be common in conjunction with moderate to severe muscle weakness, tremor, and/or dystonia .
Patients with primarily dystonic rather than choreoatheotoid dyskinesia responded best.
Writer's cramp is the commonest form of focal hand dystonia and is thought to be due to basal ganglia dysfunction.
Overdose can cause dystonic reactions and hepatotoxicity.
A diagnosis of focal dystonia was made, and injections of botulinum toxin were offered.
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