Movement Disorders (revue)

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Tourettism and dystonia after subcortical stroke

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Tourettism and dystonia after subcortical stroke

Auteurs : Carolyn H. Kwak [États-Unis] ; Joseph Jankovic [États-Unis]

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RBID : ISTEX:2C6AFB7EEDD243D6F2E1AF3B3644B8E6E74767E0

English descriptors

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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ISTEX:2C6AFB7EEDD243D6F2E1AF3B3644B8E6E74767E0

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<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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