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Living with Paroxysmal nonkinesigenic dyskinesia

A genetic nervous system condition with episodes of jerking, twisting, or writhing movements that you can't control.

Understanding Paroxysmal nonkinesigenic dyskinesia

Paroxysmal nonkinesigenic dyskinesia (PNKD) is a nervous system disorder that causes periods of involuntary movement.

Episodes can include irregular jerking or shaking movements, long muscle contractions, and writhing limb movements. Triggers may include alcohol, caffeine, stress, tiredness, periods, or excitement, or there may be no known trigger. It can start at a variety of ages.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Jerking or shaking movements
  • Long muscle contractions (dystonia)
  • Dance-like movements (chorea)
  • Writhing limb movements
  • Involuntary movements that come in episodes

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Dystonia Medical Research Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: Dystonia Medical Research Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Dystonia Medical Research Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What triggers should I avoid, like alcohol or caffeine?
Would PNKD gene testing help?
Which medicines could reduce the episodes?

Quick facts

Symptoms usually starta variety of ages
InheritanceAutosomal Dominant

Changes in the PNKD gene cause the familial form of this condition. It is autosomal dominant, which means one changed copy of the gene is enough to cause it.

GeneticNeurological

Also known as: familial paroxysmal choreoathetosis; mount-reback syndrome; paroxysmal non-kinesigenic dyskinesia; paroxystic non-kinesigenic choreoathetosis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Paroxysmal nonkinesigenic dyskinesiaGARD ID 8722 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Paroxysmal nonkinesigenic dyskinesia.

Explore the Paroxysmal nonkinesigenic dyskinesia blog

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Explore actively recruiting Paroxysmal nonkinesigenic dyskinesia studies with HealthSpark.

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Find actively recruiting studies for Paroxysmal nonkinesigenic dyskinesia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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