Movement Disorders (revue)

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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 : 001E90

A 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 Gershanik

Source :

RBID : ISTEX:A07992DC63F985A4B56B9D74B58C0BA0BFE97ADD

English descriptors

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.

Url:
DOI: 10.1002/1531-8257(200001)15:1<120::AID-MDS1018>3.0.CO;2-V

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ISTEX:A07992DC63F985A4B56B9D74B58C0BA0BFE97ADD

Le document en format XML

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<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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<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>
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