Writer’s Cramps in Forensic Document Examination

Authors

  • Nevzat Alkan İstanbul Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı
  • Nurten Uzun İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Nöroloji Anabilim Dalı
  • Birgül Tüzün İstanbul Üniversitesi İstanbul Tıp Fakültesi Adli Tıp Anabilim Dalı
  • Meral Erdemir Kızıltan İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Nöroloji Anabilim Dalı
  • Mehmet Şevki Sözen İstanbul Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı

DOI:

https://doi.org/10.17986/blm.200052413

Keywords:

writer’s cramp, forensic document examination, forensic medicine, handwriting

Abstract

There are a lot of factors that influence handwriting and signatures. Among these factors can be listed some of them such as the position of the body, writing surface, writing instrument, emotional state, various drugs, alcohol, neuroleptic or stimulant drugs, physical and mental diseases and aging. Writer's cramp is a focal dystonia that holds upper extremities as a most frequent dystonia type. This disease effects handwriting rapidly and seriously. In our study we evaluated the handwriting samples of 38 patients with writer's cramp. Handwriting and signatures of the patients that have been diagnosed as writer' s cramp or writer's cramp and writer's tremor were examined according to the criteria used in forensic document examination. 5 of 38 patients were female. The patients' ages were between 24-80 and medium age was 46.5. Medium disease period was 3.3 years. 20 of 38 patients started to write with a normal handwriting and deteriorated after writing a few sentences later and handwriting of 18 of 38 patients were broken in onset and got more deteriorated with writing. Handwriting of 6 of 38 patients displayed a pueril character. Handwriting and signature examination is an important working area in daily forensic medicine practices. Thus all document examiners must be careful and well-informed about various diseases and their effects upon handwriting and signatures. Otherwise, misinterpretation in the expertise reports will be inevitable in forensic document examination.

Key Words: Writer’s cramp, forensic document examination, forensic medicine, handwriting

Downloads

Download data is not yet available.

References

Robertson EW. Fundamentals of Document Examination. Chicago: Nelson-Hall Publishers, 1991.

Hilton O. Scientific Examination of Questioned Documents. London: CRC Press, 1993.

Ellen D. The Scientific Examination of Docu- ments:Methods and Techniques. England: Ellis Norwood Ltd, 1989.

Alkan N. Yaşlanmaya Bağlı Yazı ve İmza Değişiklikleri. İ Ü. İstanbul Tıp Fakültesi Tıpta Uzmanlık Tezi. İstanbul, 1996.

Rothwell JC. The Physiology of Dystonia. In: Tsui JKC, Caine DB (eds). Handbook of Dystonia. New York: Marcel Dekker, 1995, Chapter 4, 59-76.

Gowers WR. A Manual of Diseases of the Nervous System. London: Churchil Livingstone, 1988, 656.

Rosenbaum F, Iankovic ). Focal Task-Specific Tremor and Dystonia: Categarization of Occupational Movement Disorders. Neurology, 1988; 38: 522-7. DOI: https://doi.org/10.1212/WNL.38.4.522

Vitti RJ, Vingerhoets FJG, Tsui JKC. Limb Dystonia. In: Tsui JKC, Caine DB (eds). Handbook of Dystonia. New York: Marcel Dekker, 1995, Chapter 9, 143.

Me Daniel KD, Cummings JL, Shain S. The "Yips”: A Focal Dystonia in Golfers. Neurology, 1989; 39: 192- 5. DOI: https://doi.org/10.1212/WNL.39.2.192

Newmark J, Hochberg FH. Isolated Painless Manual Incoordination in 57 Musicians. J Neurol Neurosurg Psychiatry, 1987; 50: 291-5. DOI: https://doi.org/10.1136/jnnp.50.3.291

Lockwood AH. Medical Problems in Musicians. N Engl.) Med, 1989; 320: 221-7.

Tolosa ES, Marti MJ. Adult Onset Idiopathic Torsion Dystonias. In: Watts RL, Koller WC (eds). Movement Disorders. Neurologic Principles and Practice. New York: Me Graw Hill, 1997, Chapter 31, 433-41.

Sheehy MP, Marsden CD. Writer's Cramp: A Focal Dystonia. Brain, 1982; 10-5: 461-480. DOI: https://doi.org/10.1093/brain/105.3.461

Marsden CD, Sheehy MP. Writer’s Cramp. Trends in Neurosci, 1990; 13 (4):148-153. DOI: https://doi.org/10.1016/0166-2236(90)90007-W

Zacher A. Writer’ s Cramp-Focal Dystonia or Psychogenic Movement Disorder?- A Critical Review of the Literature. Fortschr Neurol Psychiat, 1989; 57: 328-36. DOI: https://doi.org/10.1055/s-2007-1001127

Besson JAO, Walker LE. Hypnotherapy for Writer’s Cramp. Lancet, 1983; 71-2. DOI: https://doi.org/10.1016/S0140-6736(83)91608-2

Ranawaya R, Lang A. Usefulness of a Writing Device in Writer’s Cramp. Neurology, 1991; 41: 1136-38. DOI: https://doi.org/10.1212/WNL.41.7.1136

Quinn N. Aid in Writer’s Cramp. Neurology, 1989; 39: 1404-5. DOI: https://doi.org/10.1212/WNL.39.10.1404-a

Koller WC, Vetere-Overfield B. Usefulness of a Writing Aid in Writer’s Cramp. Neurology, 1989; 39: 149- 50. DOI: https://doi.org/10.1212/WNL.39.1.149

Lees AJ, Kleedorfer B, Foster H. Treatment of Writer’s Dystonia. Lancet, 1989; 2: 1525. DOI: https://doi.org/10.1016/S0140-6736(89)92969-3

Gülşen Parman Y, Şahin H, Hanağasi H. kaptanoğlu G, Yazıcı J, Gürsoy G, Emre M. Yazıcı Krampının Botulismus Toksini ile Tedavisi: 10 Hastanın Değerlendirilmesi. Nörolojik Bilimler Dergisi, 1999; 16: 2-11.

Brin MF, IankovicJ, Cornelia C, Blitzer A, Tsui J, Pul- mann SL. Treatment of Dystonia Using Botulinum Toxin. In: Kurlan R (eds). Treatment of Movement Disorders. Philadelphia: JB Lippincott, 1995, Chapter 6, 220-5.

Yoshimura DM, Aminoff MJ, Olney RK. Botulinum Toxin Therapy for Limb Dystonias. Neurology, 1992;2: 627-630. DOI: https://doi.org/10.1212/WNL.42.3.627

Tsui JKC, Bhatt M, Caine S, Caine DB. Botulinum Toxin in the Treatment of Writer’s Cramp: A Double- Blind Study. Neurology, 1993; 43: 183-185. DOI: https://doi.org/10.1212/WNL.43.1_Part_1.183

Karp BI, Cole RA, Cohen LG, Grill S, Lou JS, Hallett M. Long-Term Botulinum Toxin Treatment of Focal Hand Dsytonia. Neurology, 1994; 44: 70-76. DOI: https://doi.org/10.1212/WNL.44.1.70

Alkan N, Sözen Ş. Türkiye’ de Adli Belge İncelemesinde Bilirkişilik Sisteminin Değerlendirilmesi. Adli Tıp Bülteni, 1998; 3(3): 86-93- DOI: https://doi.org/10.17986/blm.199833304

Alkan N, Özbaşandaç F. Yurdumuzda Adli Belge İncelemesi Alanında Günümüzdeki Durum. İstanbul Barosu Dergisi, Aralık 1999; 999-1010.

Kurtaş Ö. Adli Tıp Açısından Grafolojinin Önemi. Adli Tıp Kurumu Tıpta Uzmanlık Tezi. İstanbul, 1992.

Erkul G. Sahtecilikte Yazının Değeri. Adli Tıp Kurumu Tıpta Uzmanlık Tezi. İstanbul, 1986.

Alkan N, Korur Fincancı RŞ, Arıcan N, Kurtaş Ö. Yaş, Cinsiyet ve Eğitime Bağlı Yazı ve İmza Değişiklikleri. Adli Tıp Bülteni, 1996; 1(3): 116-21.

Downloads

Published

2000-08-01

Issue

Section

Research Article

How to Cite

1.
Alkan N, Uzun N, Tüzün B, Kızıltan ME, Sözen M Şevki. Writer’s Cramps in Forensic Document Examination. Bull Leg Med. 2000;5(2):76-82. https://doi.org/10.17986/blm.200052413