Myoclonus-Dystonia on Physical Exam Myoclonus-dystonia: affects the neck, torso, and arms → myoclonus + dystonia. May improve with alcohol & may be autosomal dominant (SCGE Gene mutation) OR sporadic. Our patient had NO SCGE mutation Dr. Boby Varkey Maramattom @bobvarkey #Myoclonus #Dystonia #PhysicalExam #clinical #video #neurology #MD