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A Wilted Flower: Lotus Position Dystonia

Adult-onset axial dystonia is a rare disorder and may be idiopathic or secondary to another systemic condition. It may, moreover, be under-recognized or misdiagnosed because of the unusual phenomenology. The pathophysiological mechanisms are poorly understood. Task specificity, common to other forms of dystonia, is moreover difficult to demonstrate in axial dystonia. We present herein a case of adult-onset axial dystonia related to a partial “lotus” position, with task specificity and sensory trick.