Hyperkinetic movement disorders during and after acute stroke: the Lausanne Stroke Registry.

Détails

ID Serval
serval:BIB_1814
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Hyperkinetic movement disorders during and after acute stroke: the Lausanne Stroke Registry.
Périodique
Journal of the neurological sciences
Auteur⸱e⸱s
Ghika-Schmid F., Ghika J., Regli F., Bogousslavsky J.
ISSN
0022-510X (Print)
ISSN-L
0022-510X
Statut éditorial
Publié
Date de publication
10/03/1997
Peer-reviewed
Oui
Volume
146
Numéro
2
Pages
109-116
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To study consecutive patients with acute or delayed hyperkinetic movement disorders in the Lausanne Stroke Registry.
We have identified 29 patients with acute or delayed movement disorders among 2500 patients who had their first-ever acute stroke in the Lausanne Stroke Registry.
Department of Neurology, Lausanne University Hospital.
Our patients presented with hemichorea-hemiballism (11 patients), hemidystonia (5 patients), stereotypias (2 patients), jerky dystonic unsteady hand (3 patients), asterixis (2 patients), initial limb-shaking (2 patients), bilateral tremor (1 patients), bilateral jaw myoclonus (1 patient), hemiakathisia (1 patient) and dysarthria-dyskinetic hand (1 patient). On neuroimaging a lesion was found in 25 of the 29 cases in the territory of the middle cerebral artery (7 deep, 2 superficial and 2 complete), the posterior cerebral artery (11 patients), both middle and posterior cerebral arteries (2 patients) or the anterior cerebral artery (1 patient). The jerky dystonic unsteady hand syndrome was associated with a specific lesion, an infarct in the territory of the posterior choroidal artery. Presumed small-vessel disease was the commonest cause of stroke (15 patients). Only 3 patients had persistent movements (> 6 months).
Hyperkinetic movement disorders are uncommon in acute stroke (1%), the commonest types being hemichorea-hemiballism and hemidystonia. These movement disorders are associated with stroke involving the basal ganglia and adjacent white matter in the territory of the middle or the posterior cerebral artery. The jerky dystonic unsteady hand syndrome is specifically associated with a small infarct in the territory of the posterior choroidal artery. The abnormal movements usually regress spontaneously.
Mots-clé
Adult, Aged, Aged, 80 and over, Cerebrovascular Disorders/complications, Chorea/diagnostic imaging, Chorea/etiology, Disease Progression, Dystonia/diagnostic imaging, Dystonia/etiology, Female, Humans, Hyperkinesis/etiology, Magnetic Resonance Imaging, Middle Aged, Retrospective Studies, Tomography, X-Ray Computed
Pubmed
Web of science
Création de la notice
19/11/2007 13:12
Dernière modification de la notice
10/09/2019 6:26
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