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Each medication is started on a low dosage and gradually increased to higher doses as the disease progresses and the side effects are known for the individual.

A more site-specific treatment is the injection of botulinum toxin.

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I made a face, said I thought it was getting better and waltzed off.The occurrence of torsion dystonia in the Ashkenazi Jewish population as stated by the Department of Epidemiology and Public Health of Yale University School of Medicine in New Haven, CT; "Reports dating to the beginning of this century describe Ashkenazi Jewish (AJ) families with multiple cases of ITD either in siblings (Schwalbe 1908; Bernstein 1912; Abrahamson 1920) or in parents and offspring (Wechsler and Brock 1922; Mankowsky and Czerny 1929; Regensberg 1930).The first comprehensive evaluation of the mode of inheritance of ITD in Jewish and non-Jewish families was described by Zeman and Dyken (1967), who concluded that the disorder was inherited as an autosomal dominant with incomplete penetrance in both populations.After two visits to St Thomas's Hospital in London for eye tests, I saw a neuro-ophthalmologist at King's College Hospital and my condition was finally given a name - blepharospasm.I had never heard the word before and didn't even know how to spell it.A mutation in the DYT1 gene causes the loss of an amino acid, glutamic acid, in the Torsin A protein.

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