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Dyskinesia of vascular origin. Clinical data and response to therapy in 7 cases

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Abstract

Seven patients with dyskinesia due to cerebrovascular lesions are described. They presented hemichorea, hemiballism and focal dystonia; the site(s) of the lesion responsible, as defined by MRI (magnetic resonance imaging) or CT (computerized tomography) scan were the putamen, the caudatus, the thalamus and the subthalamic body of Luys. Data of similar cases in the literature are reviewed with reference to the location of the responsible lesions, which can aid in predicting the outcome of illness or prescribing treatment.

Sommario

Le sindromi discinetiche secondarie hanno eziologia variabile; nell'adulto possono essere associate a lesioni di natura vascolare dei gangli della base. Vengono descritti 7 casi con sindromi discinetiche, emicorea, emiballismo e distonie focali, da lesione cerebrovascolare.

Le lesioni responsabili, identificate con TAC e-o RMN encefalica, sono risultate essere a carico del putamen, del nucleo caudato, del talamo e del nucleo subtalamico del Luys.

Abbiamo confrontato i nostri casi con altri già descritti in letteratura, valutando i dati clinici in rapporto alla sede di lesione, e la variabile risposta alle terapie effettuate.

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References

  1. Awada A.:Hemiballism révélatuer d'une toxoplasmose cérébrale et d'un syndrome d'immunodéficience acquise. Rev. Neurol. (Paris), 149: 6–7, 421–423, 1993.

    Google Scholar 

  2. Dewey B.R., Jankovic J.:Hemiballism-Hemichorea. Clinical and Pharmacologic Findings in 21 patients. Arch. Neurol. 46: 862–867, 1989.

    Google Scholar 

  3. Gastaut J.L., Nicoli F., Somma-Mauvais H. et al.:Hémichorée-Hémiballisme et toxoplasmose au cors du SIDA. Rev. Neurol. (Paris), 148, 12: 785–788, 1992.

    Google Scholar 

  4. Goldblatt D., Markesbery W., Reeves A.G.:Recurrent hemichorea following striatal lesions. Arch. Neurol. 31: 51–54, 1974.

    Google Scholar 

  5. Johnson W.G., Fahn S.:Treatment of vascular hemiballism and hemichorea. Neurology, 27: 634–636, 1977.

    Google Scholar 

  6. Kase C.S., Moses H., Nausieda P.A., Bergen D., Weiner W.J.:Treatment and prognosis of hemiballismus. N. Engl. J. Med. 295: 1348–1350, 1976.

    Google Scholar 

  7. Klawans H.L., Moses H., Nausieda P.A., Bergen D., Weiner W.J.:Treatment and prognosis of hemiballismus. N. Engl. J. Med. 295: 1348–1350, 1976.

    Google Scholar 

  8. Lenton R.J., Copti M., Smith R.G.:Hemiballismus treated with sodium valproate. B.M.J. 283: 17–18, 1981.

    Google Scholar 

  9. Markhan C.H.:The Dystonias. Curr. Opin. Neurol. Neurosurg. 5: 301–307, 1992.

    Google Scholar 

  10. Marsden C.D., Obeso J.A., Zarranz J.J., Lang A.E.:The anatomical basis of symptomatic hemidystonia. Brain 108: 462–483, 1985.

    Google Scholar 

  11. Marsden C.D., Quinn N.P.:The dystonias. B.M.J. 300: 139–144, 1990.

    Google Scholar 

  12. Midgasrd R., Aarli J.A., Julsrund O.J.J., Odegaard H.:Symptomatic Hemidystonia of delayed onset. Magnetic resonance demonstration of pathology in the putamen and the caudate nucleus. Acta Neurol. Scand. 79: 27–31, 1989.

    Google Scholar 

  13. Mlandre L., Brosset C., Gabriel B., Khalil R.:Mouvements involontaires transitoires at infarctus thalamiques. Rev. Neurol. (Paris) 149: 6–7, 402–406, 1993.

    Google Scholar 

  14. Pestre P., Milandre L., Fernarier P., Gallais H.:Hèmichorèe au cors du syndrome d'immunofèficience acquise. Rev. Neurol. (Paris) 147, 12: 833–837, 1991.

    Google Scholar 

  15. Pettigrew C.L., Jakovic J.:Hemidystonia: a report of 22 patients and a review of the literature. J. Neurol. Neurosurg. Psychiatry 48: 650–657, 1985.

    Google Scholar 

  16. Russo L.S.:Focal Dystonia and Lacunar Infarction of the Basal Ganglia. Arch. Neurol. 40: 61–62, 1983.

    Google Scholar 

  17. Saris S.:Chorea Caused by Caudate Infarction. Arch. Neurol. 40: 590–591, 1983.

    Google Scholar 

  18. Sethi K.D., Batel B.P.:Inconsistent response to divalproex sodium in hemichorea-hemiballism. Neurology 40: 1630–1631, 1990.

    Google Scholar 

  19. Srinivas K., Rao V.M., Subbulakshmi N., Bhaskaran J.:Hemiballism after striatal hemorrhage. Neurology 37: 1428, 1987.

    Google Scholar 

  20. Weiller C., Chollet F., Friston K.J., Wise R.J.S., Frackowiak R.S.J.:Functional Reorganisation of the brain in recovery from Striato-Capsular Infarction in Man. Ann. Neurol. 31: 463–472, 1992.

    Google Scholar 

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Delodovici, M.L., Calloni, M.V., Ramponi, G. et al. Dyskinesia of vascular origin. Clinical data and response to therapy in 7 cases. Ital J Neuro Sci 16, 561–565 (1995). https://doi.org/10.1007/BF02282915

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  • DOI: https://doi.org/10.1007/BF02282915

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