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dyskinesia","onset_id":null,"reference":"ORPHA:210571","source_release":"2026-06-23"},"sourceGroups":["orphanet"]}],"referenceLabels":{},"references":{"causeHtml":"","identityNote":"MONDO cross-references identify native condition entries. Ancestor membership does not transfer phenotype values between groups.","importantHtml":""},"sections":[{"bodyHtml":"

Dystonia 16 is caused by mutations in the PRKRA gene, which provides instructions for making a protein called PACT. The PACT protein helps control a cell's response to stress, such as exposure to viruses, damaging molecules called free radicals, or other toxic substances. When a cell is under stress, the PACT protein turns on signals that reduce protein production, which helps protect cells from damage. These signals can ultimately lead to self-destruction (apoptosis) of the cell if it remains under stress.

PRKRA gene mutations result in production of abnormal PACT proteins. The pattern of signals stimulated by these abnormal proteins in response to stress is altered, which increases the rate at which cell death occurs. Researchers suspect that the excessive loss of cells in certain regions of the brain impairs the brain's ability to control muscles and movement, resulting in the features of dystonia 16. It is unclear why brain cells are particularly affected by PRKRA gene mutations.

MedlinePlus Genetics: Causes

","key":"forms","title":"What causes Dystonia 16?"},{"bodyHtml":"

The signs and symptoms of dystonia 16 vary among people with the condition. In many affected individuals, the disorder first affects muscles in one or both arms or legs. Tensing (contraction) of the muscles often sets the affected limb in an abnormal position, which may be painful and can lead to difficulty performing tasks, such as walking. In others, muscles in the neck are affected first, causing the head to be pulled backward and positioned with the chin in the air (retrocollis).

In dystonia 16, muscles of the jaw, lips, and tongue are also commonly affected (oromandibular dystonia), causing difficulty opening and closing the mouth and problems with swallowing and speech. Speech can also be affected by involuntary tensing of the muscles that control the vocal cords (laryngeal dystonia), resulting in a quiet, breathy voice or an inability to speak clearly. Dystonia 16 gradually gets worse, eventually involving muscles in most parts of the body.

Some people with dystonia 16 develop a pattern of movement abnormalities known as parkinsonism. These abnormalities include unusually slow movement (bradykinesia), muscle rigidity, tremors, and an inability to hold the body upright and balanced (postural instability). In dystonia 16, parkinsonism is relatively mild if it develops at all.

The signs and symptoms of dystonia 16 usually do not get better when treated with drugs that are typically used for movement disorders.

Source: MedlinePlus Genetics

","key":"overview","title":"Condition overview"}],"sharedSources":[],"slug":"dystonia-16","sourceDocuments":[{"name":"Dystonia 16","reviewed":"2019-06","sections":{"causes":{"fetchedAt":"2026-10-20T20:21:07.221142+00:00","label":"Causes","pageSha256":"ac8a94404c175848355d732ae86273e0f5a479d7e8c7e0a2ac5e483bb0c53ab6","sourceUrl":"https://medlineplus.gov/genetics/condition/dystonia-16/#causes","status":"available"}},"source_release":"2026-10-01","url":"https://medlineplus.gov/genetics/condition/dystonia-16"}],"sourceNote":"MedlinePlus descriptions and Causes; original HPO annotations.","takeawayHtml":"Cause explanations are from MedlinePlus Genetics. Feature values below retain their original sources and patient groups.","title":"Dystonia 16"},"schemaVersion":1}