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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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