Acute Onset Dystonia after Infarction of Premotor and Supplementary Motor Cortex
Autor: | Carla Watson, Monica B. Dhakar, Kumar Rajamani |
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Rok vydání: | 2015 |
Předmět: |
Brain Infarction
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Premotor cortex Physical medicine and rehabilitation otorhinolaryngologic diseases medicine Humans Dystonia Supplementary motor area business.industry Lenticular nucleus Putamen Rehabilitation Motor Cortex Chorea Middle Aged Focal dystonia medicine.disease nervous system diseases medicine.anatomical_structure Anesthesia Female Surgery Neurology (clinical) medicine.symptom Cardiology and Cardiovascular Medicine business Motor cortex |
Zdroj: | Journal of Stroke and Cerebrovascular Diseases. 24:2880-2882 |
ISSN: | 1052-3057 |
Popis: | Objective Poststroke dystonia is the second most common movement disorder after chorea and often has a delayed manifestation. Lesions of the contralateral lenticular nucleus, particularly the putamen, have been implicated in the pathogenesis of dystonia. We present an unusual case of rapid onset of focal dystonia of the left upper extremity, which developed after infarction of the right premotor cortex (PMC) and the supplementary motor area (SMA). Method A retrospective chart review of the patient was performed. Results and Conclusion We propose that disruption of the afferents from PMC and SMA in the setting of chronic striatal abnormality can result in acute dystonia due to disinhibition of the thalamocortical circuit. |
Databáze: | OpenAIRE |
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