A combined pattern of movement disorders resulting from posterolateral thalamic lesions of a vascular nature: A syndrome with clinico‐radiologic correlation
Identifieur interne : 001E89 ( Istex/Corpus ); précédent : 001E88; suivant : 001E90A combined pattern of movement disorders resulting from posterolateral thalamic lesions of a vascular nature: A syndrome with clinico‐radiologic correlation
Auteurs : Gabriel Lera ; Osualdo Scipioni ; Silvia Garcia ; Angel Cammarota ; Gustavo Fischbein ; Oscar GershanikSource :
- Movement Disorders [ 0885-3185 ] ; 2000-01.
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Abstract
We report a series of seven patients in whom a combined pattern of complex movement disorders restricted to one upper extremity emerged as a result of posterolateral thalamic lesions of vascular origin. This disorder was mainly characterized by choreiform and dystonic movements associated with variable, rhythmic, alternating movements of low frequency (myorhythmia). All cases showed, on computed tomography scan and/or magnetic resonance imaging, focal lesions involving the posterolateral quadrant of the thalamus. Review of similar cases reported with identical clinico‐radiologic features allows us to conclude that it is possible to establish an accurate anatomoclinical correlation based on the clinical phenomenology, even before imaging studies are performed, in these cases. The opposite is not entirely possible, however, because lesions in the same quadrant of the thalamus are often associated with different patterns of abnormal movements or present without abnormal movements.
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DOI: 10.1002/1531-8257(200001)15:1<120::AID-MDS1018>3.0.CO;2-V
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<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<p>We report a series of seven patients in whom a combined pattern of complex movement disorders restricted to one upper extremity emerged as a result of posterolateral thalamic lesions of vascular origin. This disorder was mainly characterized by choreiform and dystonic movements associated with variable, rhythmic, alternating movements of low frequency (myorhythmia). All cases showed, on computed tomography scan and/or magnetic resonance imaging, focal lesions involving the posterolateral quadrant of the thalamus. Review of similar cases reported with identical clinico‐radiologic features allows us to conclude that it is possible to establish an accurate anatomoclinical correlation based on the clinical phenomenology, even before imaging studies are performed, in these cases. The opposite is not entirely possible, however, because lesions in the same quadrant of the thalamus are often associated with different patterns of abnormal movements or present without abnormal movements.</p>
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<!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>A combined pattern of movement disorders resulting from posterolateral thalamic lesions of a vascular nature: A syndrome with clinico‐radiologic correlation</title>
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<titleInfo type="abbreviated" lang="en"><title>MD Resulting from Posterolateral Thalamic Lesions</title>
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<titleInfo type="alternative" contentType="CDATA" lang="en"><title>A combined pattern of movement disorders resulting from posterolateral thalamic lesions of a vascular nature: A syndrome with clinico‐radiologic correlation</title>
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<name type="personal"><namePart type="given">Gabriel</namePart>
<namePart type="family">Lera</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Sección Enfermedades Extrapiramidales, Centro Neurológico, Hospital Francés, Buenos Aires, Argentina</affiliation>
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<name type="personal"><namePart type="given">Osualdo</namePart>
<namePart type="family">Scipioni</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Sección Enfermedades Extrapiramidales, Centro Neurológico, Hospital Francés, Buenos Aires, Argentina</affiliation>
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<name type="personal"><namePart type="given">Silvia</namePart>
<namePart type="family">Garcia</namePart>
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<affiliation>Sección Enfermedades Extrapiramidales, Centro Neurológico, Hospital Francés, Buenos Aires, Argentina</affiliation>
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<name type="personal"><namePart type="given">Angel</namePart>
<namePart type="family">Cammarota</namePart>
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<affiliation>Sección Enfermedades Extrapiramidales, Centro Neurológico, Hospital Francés, Buenos Aires, Argentina</affiliation>
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<name type="personal"><namePart type="given">Gustavo</namePart>
<namePart type="family">Fischbein</namePart>
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<affiliation>Sección Enfermedades Extrapiramidales, Centro Neurológico, Hospital Francés, Buenos Aires, Argentina</affiliation>
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</name>
<name type="personal"><namePart type="given">Oscar</namePart>
<namePart type="family">Gershanik</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Sección Enfermedades Extrapiramidales, Centro Neurológico, Hospital Francés, Buenos Aires, Argentina</affiliation>
<description>Correspondence: Seccion Enfermedades Extrapiramidales, Centro Neurologico‐Hospital Frances, La Rioja 951, (1221) Buenos Aires, Argentina</description>
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<abstract lang="en">We report a series of seven patients in whom a combined pattern of complex movement disorders restricted to one upper extremity emerged as a result of posterolateral thalamic lesions of vascular origin. This disorder was mainly characterized by choreiform and dystonic movements associated with variable, rhythmic, alternating movements of low frequency (myorhythmia). All cases showed, on computed tomography scan and/or magnetic resonance imaging, focal lesions involving the posterolateral quadrant of the thalamus. Review of similar cases reported with identical clinico‐radiologic features allows us to conclude that it is possible to establish an accurate anatomoclinical correlation based on the clinical phenomenology, even before imaging studies are performed, in these cases. The opposite is not entirely possible, however, because lesions in the same quadrant of the thalamus are often associated with different patterns of abnormal movements or present without abnormal movements.</abstract>
<note type="funding">National Parkinson Foundation of Miami, FL, USA</note>
<subject lang="en"><genre>Keywords</genre>
<topic>Abnormal movements</topic>
<topic>Myorhythmia</topic>
<topic>Posterolateral thalamus</topic>
<topic>Anatomoclinical correlations</topic>
<topic>Vascular lesions</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part><date>2000</date>
<detail type="volume"><caption>vol.</caption>
<number>15</number>
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<detail type="issue"><caption>no.</caption>
<number>1</number>
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<identifier type="ArticleID">MDS1018</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2000 Movement Disorder Society</accessCondition>
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