TABLE 1 .
Drug | Type of Dystonia | Patients Improved/Patients Testeda | Type of Study | Level of Evidenceb | Year | Reference |
---|---|---|---|---|---|---|
Amphetamine | ||||||
Cervical, multifocal (cervical and foot) | 2/2 | Case reports | IV | 1942 | Myerson and Loman (1942) | |
Cervical | 1/1 | Case report | IV | 1943 | Patterson and Little (1943) | |
Apomorphine | ||||||
Cervical | 2/7 | Double-blind, placebo crossover and open-label | IV | 1978 | Tolosa (1978) | |
Cervical | 3/3 | Double-blind, placebo crossover | III | 1982 | Frattola et al. (1982) | |
Craniofacialc | 5/5 | Single-blind, placebo crossover | IV | 1979 | Tolosa and Lai (1979) | |
Craniofacial | 2/2 | Case reports | IV | 1982 | Micheli et al. (1982) | |
Craniofacial | 12/23 | Single-blind, placebo crossover | IV | 1986 | Micheli and Fernandez Pardal (1986) | |
Generalized | 2/2 | Case reports | IV | 1973 | Braham and Sarova-Pinhas (1973) | |
Generalized | 1/1 | Case report | IV | 1996 | Zuddas et al. (1996) | |
Segmental (cervical, spasmodic dysphonia, and craniofacial) | 1/1 | Case report | IV | 1993 | Vidailhet et al. (1993) | |
Bromocriptine | ||||||
Cervical | 0/8 | Single-blind, placebo crossover | IV | 1976 | Lees et al. (1976) | |
Cervical | 0/14 | Randomized, double-blind, placebo crossover | III | 1979 | Juntunen et al. (1979) | |
Craniofacial | 0/2 | Case reports | IV | 1982 | Micheli et al. (1982) | |
Generalized, craniofacial plus cervical | 2/3 | Double-blind, placebo crossover | IV | 1981 | Stahl and Berger (1981) | |
Generalized, cervical, craniofacial | 5/8 | Double-blind, placebo crossover | IV | 1982 | Stahl and Berger (1982) | |
Generalized, segmental (cervical/limb), truncal, cervical | 2/13 | Blinded raters, no placebo | IV | 1982 | Girotti et al. (1982) | |
Generalized, unspecified focal | 2/10 | Open-label followed by double-blind study in the two responders | IV | 1984 | Obeso and Luquin (1984) | |
Generalized, hemidystonia, cervical, segmental (oromandibular and laryngeal), multifocal (cervical and foot) blepharospasm | 7/13 | Randomized, double-blind, placebo crossover | III | 1985 | Newman et al. (1985) | |
Lisuride | ||||||
Cervical | 3/3 | Double-blind, placebo crossover | III | 1982 | Frattola et al. (1982) | |
Craniofacial | 2/2 | Case reports | IV | 1982 | Micheli et al. (1982) | |
Craniofacial | 1/7 | Open label | IV | 1983 | Marsden et al. (1983) | |
Craniofacial | 13/23 | Single-blind, placebo crossover | IV | 1986 | Micheli and Fernandez Pardal (1986) | |
Craniofacial | 1/1 | Case report | IV | 1988 | Micheli et al. (1988) | |
Craniofacial | 1/9 | Randomized, double-blind, placebo crossover | II | 1988 | Bassi et al. (1982) | |
Generalized, cervical | 6/7 | Double-blind, placebo crossover | III | 1982 | Ransmayr et al. (1988) | |
Generalized, unspecified focal | 0/10 | Open-label | IV | 1984 | Obeso and Luquin (1984) | |
Generalized, segmental (unspecified regions), hand, cervical, craniofacial, myoclonic, Parkinsonism with dystonia, tardive, unspecified | 8/42 | Open-label followed by randomized, double-blind, placebo crossover for the eight patients who improved | IV | 1985 | Quinn et al. (1985) | |
Generalized, cervical, craniofacial | 6/9 | Double-blind, placebo crossover | IV | 1985 | Nutt et al. (1985) |
The definition of “improved” varied across publications and is summarized here exactly as reported.
Based on the updated scheme for “Classification of Evidence for Therapeutic Studies” established by the American Academy of Neurology in 2015.
Craniofacial is used synonymously with Meige syndrome or orofacial dystonia.