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What Is Bimanual Synkinesis?

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Posted on Wed, 11 Mar 2015
Question: Is Bimanual Synkinesis an actual medical disease/syndrome/disorder? I've also seen it called Mirrored Hand Syndrome, or Mirror Dystonia. My 5 year old son has mirror hand movements, like if he's writing, coloring or doing something with one hand the other is doing almost the same identical thing.
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Answered by Dr. Sumanth Amperayani (38 minutes later)
Brief Answer:
He needs neurological and genetic evaluation

Detailed Answer:
Hi....The kind of mirroring movement you are describing is not normal at any age.  But I need to reassure you first that it is not a disease or syndrome or a life threatening condition.

But at the same time it is associated with certain other genetic syndromes like Kallman syndrome / hypogonadism / undescended testis etc.

My suggestions for you -

1. Your son needs a complete pediatric neurological and genetic evaluation.

2. Consult a pediatric neurologist in a center where all necessary tests and thorough genetic evaluation can be done.

3. He also needs "hands on" evaluation by a board-certified geneticist.

4. You are the best judge as far as your kid is concerned. Do not wait further thinking that it will get better with age.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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What Is Bimanual Synkinesis?

Brief Answer: He needs neurological and genetic evaluation Detailed Answer: Hi....The kind of mirroring movement you are describing is not normal at any age.  But I need to reassure you first that it is not a disease or syndrome or a life threatening condition. But at the same time it is associated with certain other genetic syndromes like Kallman syndrome / hypogonadism / undescended testis etc. My suggestions for you - 1. Your son needs a complete pediatric neurological and genetic evaluation. 2. Consult a pediatric neurologist in a center where all necessary tests and thorough genetic evaluation can be done. 3. He also needs "hands on" evaluation by a board-certified geneticist. 4. You are the best judge as far as your kid is concerned. Do not wait further thinking that it will get better with age. Regards - Dr. Sumanth