Tourettism and dystonia after subcortical stroke
Identifieur interne : 001F30 ( Istex/Curation ); précédent : 001F29; suivant : 001F31Tourettism and dystonia after subcortical stroke
Auteurs : Carolyn H. Kwak [États-Unis] ; Joseph Jankovic [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-07.
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Abstract
The term “tourettism” has been used to describe Tourette syndrome (TS)‐like symptoms secondary to some specific cause. Tics associated with attention deficit hyperactivity disorder (ADHD), obsessive–compulsive disorder (OCD), or both, are commonly present in TS, but this constellation of symptoms has been rarely attributed to stroke. We describe two boys who suffered a subcortical stroke and subsequently developed hemidystonia, tics, and behavioral comorbidities. Both had right hemispheric stroke involving the basal ganglia at 8 years of age, and in both the latency from the stroke to the onset of left hemidystonia was 2 weeks. In addition to ADHD and OCD, both exhibited cranial‐cervical motor tics but no phonic tics. The temporal relationship between the stroke and subsequent TS‐like symptoms, as well as the absence of phonic tics and family history of TS symptoms in our patients, argues in favor of a cause and effect relationship, and the observed association provides evidence for an anatomic substrate for TS and related symptoms. © 2002 Movement Disorder Society
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DOI: 10.1002/mds.10207
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<front><div type="abstract" xml:lang="en">The term “tourettism” has been used to describe Tourette syndrome (TS)‐like symptoms secondary to some specific cause. Tics associated with attention deficit hyperactivity disorder (ADHD), obsessive–compulsive disorder (OCD), or both, are commonly present in TS, but this constellation of symptoms has been rarely attributed to stroke. We describe two boys who suffered a subcortical stroke and subsequently developed hemidystonia, tics, and behavioral comorbidities. Both had right hemispheric stroke involving the basal ganglia at 8 years of age, and in both the latency from the stroke to the onset of left hemidystonia was 2 weeks. In addition to ADHD and OCD, both exhibited cranial‐cervical motor tics but no phonic tics. The temporal relationship between the stroke and subsequent TS‐like symptoms, as well as the absence of phonic tics and family history of TS symptoms in our patients, argues in favor of a cause and effect relationship, and the observed association provides evidence for an anatomic substrate for TS and related symptoms. © 2002 Movement Disorder Society</div>
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