Which of the following is NOT a symptom of dystonia?

Dystonia is characterized by sustained muscle contractions, abnormal postures, and involuntary movements. The symptoms associated with dystonia specifically include uncontrollable spasms, which can lead to abnormal positioning of various parts of the body, and a mask-like face, which refers to reduced facial expressiveness often seen in conditions involving muscle rigidity.

Pill rolling, although typically associated with Parkinson’s disease, can also occur as a secondary movement in dystonia. The symptom reflects the characteristic repetitive movements of the fingers, which may be present in individuals with certain forms of dystonia.

Exaggerated reflexes, however, are not considered a symptom of dystonia. They are more commonly associated with conditions that affect the upper motor neurons, such as spasticity or other neurological disorders. Therefore, the answer indicating that exaggerated reflexes are not a symptom of dystonia is accurate, as it distinguishes this symptom from those that are characteristic of dystonia itself.