Dystonia, Paroxysmal Disorders & NBIA
The Dystonia, Paroxysmal Disorders & NBIA Disease Knowledge Hub provides reference information on care of Dystonias, Paroxysmal Disorders & Neurodegeneration with Brain Iron Accumulation (NBIA).
Patient Journey Movies
To see subtitles in a specific language, please click on the gear wheel icon in the lower right corner of the video in full screen mode and choose a language.
Patient Journey Cervical Dystonia: Lilys Journey
Countless visits to doctors, the feeling of “something’s wrong”, being undiagnosed for years – many rare disease patients are familiar with that. Our patient journey movie on Dystonia shows the different stations of the disease as it progresses – from first symptoms over diagnosis to treatment – and how it affects a patient’s everyday life as well as ways of coping.
Short Movie – Huntington’s Disease and Cervical Dystonia
Living with a rare disease is challenging not only for patients but also for their loved ones, who often become caregivers. Our short movie follows two friends—one with cervical dystonia, the other with a twin brother affected by Huntington’s disease—as they reconnect over the years and reflect on the progression of these conditions and the everyday challenges they face. The story is based on real patient experiences.
Patient Journey Cervical Dystonia (Health Insurance Officer)
Our patient advocate Monica opens up about her personal experience with a health insurance officer who did not take her condition seriously. Her story highlights the challenges many patients face when seeking understanding, support, and fair treatment within the healthcare system. A patient journey document can help in such situations.
Disease Knowledge Documents
Information and knowledge that has been developed or endorsed by ERN-RND can be found in blue boxes.

ERN-RND Centres for Dystonia, Paroxysmal Disorders & NBIA

Care Standards
Available in many European languages .
Dystonias
Diagnosis
Clinical Rating Scale
Scales to Measure Dystonia (update 05/2025)
Therapeutic and Treatment Algorithm
Paroxysmal Disorders
Diagnosis
Diagnostic Flowchart for Paroxysmal Disorders (latest update 02/2026)
Therapeutic and Treatment Algorithm
NBIA
Clinical Rating Scales
Clinical Rating Scale for Pantothenate-Kinase-Associated Neurodegeneration (PKAN)
Guidelines
NBIA Guideline (latest update 01/2026)
Cross-cutting thematic areas
Guidelines
Therapeutic and Treatment Algorithm
Deep Brain Stimulation:
DBS Match Maker might help to assess suitability for DBS in rare genetic movement disorders. Decision to use the tool and responsibility for data security remains with the submitting institution.
(external webpage)

Online Medical Education

Patient Journeys
Available in many European languages.
Patient Journey for Cervical Dystonia
Patient Journey map for Cervical Dystonia
A patient journey map for people living with Cervical Dystonia (original paper)
Patient Journey for Alternating Hemiplegia of Childhood
(in cooperation with epiCARE)

Information for Patients
Please note that this section includes useful information from a variety of sources provided by ERN-RND members but which hasn’t been endorsed by ERN-RND.

Patient Organisations



