We studied visuospatial function in 15 patients with idiopathic spasmo
dic torticollis (ST) and 15 age- and sex-matched controls. All subject
s underwent a battery of visuospatial tests, assessing different funct
ional components of spatial ability. The performance of ST patients on
tasks of spatial perception did not significantly differ from that of
normal subjects, but patients performed significantly worse on spatia
l tasks requiring mental manipulation of personal space. This distinct
pattern of visuospatial impairment may result from basal ganglia dysf
unction.