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A dystonia characterized by segmental dystonia that predominantly affects the distal limbs and leads to abnormal posture. This disease has a progressive clinical course and may develop into generalized dystonia but remains mild overall.
Features include always present findings: Torsion dystonia; and common findings: Torticollis, Difficulty swallowing (dysphagia), Dysarthria, and Blepharospasm. 6 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 4 | Difficulty swallowing (dysphagia), Dysarthria, Torsion dystonia |
HPCA encodes hippocalcin (193 aa). Calcium-binding protein that may play a role in the regulation of voltage-dependent calcium channels. Highest expression in Brain Caudate basal ganglia (825.3 TPM) and Brain Putamen basal ganglia (677.6 TPM).
Torsion dystonia 2 is associated with mutations in the HPCA gene on chromosome 1.
HPCA is classified as a druggable target (Kinase category) with score 17.4.
Genetic testing for HPCA is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature, 4 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for torsion dystonia 2.
2 publications have been identified in PubMed for torsion dystonia 2. Research spans Case Report / Case Series (50%) and Basic Science / Preclinical (50%).
Nou-Fontanet L (2025). [PMID: 40884872](https://pubmed.ncbi.nlm.nih.gov/40884872/). *Pediatr Neurol*. [Case Report / Case Series]
Atasu B (2024). [PMID: 38458754](https://pubmed.ncbi.nlm.nih.gov/38458754/). *J Med Genet*. [Basic Science / Preclinical]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 3:04 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Digestive system
1 |
Difficulty swallowing (dysphagia) |