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The action of putting on lipstick causes the appearance of brief, involuntary, and repetitive movements of right arm and shoulder associated with a mild dystonic posturing of the right hand in particular of the fourth and fifth fingers. Moreover, it is interesting to note that the involuntary movements are more evident when the hand is moving from left- to right-hand side, and less on the opposite direction; for instance, dystonic tremor is enhanced when the body part moves in the opposite direction compared to the dystonia and decreases at the so-called null point. During the video, V. F. is injecting botulinum toxin type A (BTX-A) into teres major muscle using EMG guidance.
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