Asymmetric predominantly ipsilateral blepharospasm and contralateral parkinsonism in an elderly patient with a right mesencephalic cyst
Identifieur interne : 005066 ( Main/Exploration ); précédent : 005065; suivant : 005067Asymmetric predominantly ipsilateral blepharospasm and contralateral parkinsonism in an elderly patient with a right mesencephalic cyst
Auteurs : Singer ; Norman J. Schatz ; Brian Bowen ; David Eidelberg [États-Unis] ; Ken Kazumata [États-Unis] ; Linda Sternau [États-Unis] ; Lisa M. Shulman ; William J. WeinerSource :
- Movement Disorders [ 0885-3185 ] ; 1998-01.
English descriptors
- KwdEn :
- Aged, Arachnoid Cysts (complications), Arachnoid Cysts (pathology), Arachnoid Cysts (physiopathology), Arm, Blepharospasm, Blepharospasm (etiology), Blepharospasm (pathology), Blepharospasm (physiopathology), Dystonia, Female, Humans, Magnetic Resonance Imaging, Mesencephalon (pathology), Mesencephalon (physiopathology), Midbrain cyst, Parkinson Disease (etiology), Parkinson Disease (pathology), Parkinson Disease (physiopathology), Parkinsonism, Tomography, Emission-Computed.
- MESH :
- complications : Arachnoid Cysts.
- etiology : Blepharospasm, Parkinson Disease.
- pathology : Arachnoid Cysts, Blepharospasm, Mesencephalon, Parkinson Disease.
- physiopathology : Arachnoid Cysts, Blepharospasm, Mesencephalon, Parkinson Disease.
- Aged, Arm, Female, Humans, Magnetic Resonance Imaging, Tomography, Emission-Computed.
Abstract
A 66‐year‐old woman presented with a 3‐year history of predominantly right‐sided blepharospasm and a 1‐year history of progressive predominantly left‐sided hemiparkinsonism manifested by a left upper extremity resting tremor and left‐sided bradykinesia. Magnetic resonance imaging of the brain revealed a large right mesencephalic cyst with mass effect. Positron emission tomography revealed bilateral striatal hypometabolism consistent with nigrostriatal dopaminergic dysfunction. The association of predominantly ipsilateral blepharospasm and predominantly contralateral hemiparkinsonism is very rare, and its association with a posterior fossa space‐occupying lesion has been reported only once. This is the second report of such an association and the first description of adult‐onset symptomatology.
Url:
DOI: 10.1002/mds.870130125
Affiliations:
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Shulman</name><affiliation><wicri:noCountry code="subField">Miami</wicri:noCountry></affiliation></author><author><name sortKey="Weiner, William J" sort="Weiner, William J" uniqKey="Weiner W" first="William J." last="Weiner">William J. Weiner</name><affiliation><wicri:noCountry code="subField">Miami</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1998-01">1998-01</date><biblScope unit="vol">13</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="135">135</biblScope><biblScope unit="page" to="139">139</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">BBF5FCD8B447B0997C5DFD4BBC3B301553E240F5</idno><idno type="DOI">10.1002/mds.870130125</idno><idno type="ArticleID">MDS870130125</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Arachnoid Cysts (complications)</term><term>Arachnoid Cysts (pathology)</term><term>Arachnoid Cysts (physiopathology)</term><term>Arm</term><term>Blepharospasm</term><term>Blepharospasm (etiology)</term><term>Blepharospasm (pathology)</term><term>Blepharospasm (physiopathology)</term><term>Dystonia</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Mesencephalon (pathology)</term><term>Mesencephalon (physiopathology)</term><term>Midbrain cyst</term><term>Parkinson Disease (etiology)</term><term>Parkinson Disease (pathology)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinsonism</term><term>Tomography, Emission-Computed</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arachnoid Cysts</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Blepharospasm</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arachnoid Cysts</term><term>Blepharospasm</term><term>Mesencephalon</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arachnoid Cysts</term><term>Blepharospasm</term><term>Mesencephalon</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Arm</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Tomography, Emission-Computed</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 66‐year‐old woman presented with a 3‐year history of predominantly right‐sided blepharospasm and a 1‐year history of progressive predominantly left‐sided hemiparkinsonism manifested by a left upper extremity resting tremor and left‐sided bradykinesia. Magnetic resonance imaging of the brain revealed a large right mesencephalic cyst with mass effect. Positron emission tomography revealed bilateral striatal hypometabolism consistent with nigrostriatal dopaminergic dysfunction. The association of predominantly ipsilateral blepharospasm and predominantly contralateral hemiparkinsonism is very rare, and its association with a posterior fossa space‐occupying lesion has been reported only once. This is the second report of such an association and the first description of adult‐onset symptomatology.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>État de New York</li></region></list><tree><noCountry><name sortKey="Bowen, Brian" sort="Bowen, Brian" uniqKey="Bowen B" first="Brian" last="Bowen">Brian Bowen</name><name sortKey="Schatz, Norman J" sort="Schatz, Norman J" uniqKey="Schatz N" first="Norman J." last="Schatz">Norman J. Schatz</name><name sortKey="Shulman, Lisa M" sort="Shulman, Lisa M" uniqKey="Shulman L" first="Lisa M." last="Shulman">Lisa M. Shulman</name><name sortKey="Singer" sort="Singer" uniqKey="Singer" last="Singer">Singer</name><name sortKey="Weiner, William J" sort="Weiner, William J" uniqKey="Weiner W" first="William J." last="Weiner">William J. Weiner</name></noCountry><country name="États-Unis"><region name="État de New York"><name sortKey="Eidelberg, David" sort="Eidelberg, David" uniqKey="Eidelberg D" first="David" last="Eidelberg">David Eidelberg</name></region><name sortKey="Kazumata, Ken" sort="Kazumata, Ken" uniqKey="Kazumata K" first="Ken" last="Kazumata">Ken Kazumata</name><name sortKey="Sternau, Linda" sort="Sternau, Linda" uniqKey="Sternau L" first="Linda" last="Sternau">Linda Sternau</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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