A combined pattern of movement disorders resulting from posterolateral thalamic lesions of a vascular nature: A syndrome with clinico‐radiologic correlation
Identifieur interne : 004B64 ( Main/Exploration ); précédent : 004B63; suivant : 004B65A combined pattern of movement disorders resulting from posterolateral thalamic lesions of a vascular nature: A syndrome with clinico‐radiologic correlation
Auteurs : Gabriel Lera [Argentine] ; Osualdo Scipioni [Argentine] ; Silvia Garcia [Argentine] ; Angel Cammarota [Argentine] ; Gustavo Fischbein [Argentine] ; Oscar Gershanik [Argentine]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Abnormal movements, Adult, Aged, Anatomoclinical correlations, Arm (innervation), Brain Ischemia (diagnosis), Brain Ischemia (physiopathology), Brain Mapping, Cerebral Infarction (diagnosis), Cerebral Infarction (physiopathology), Chorea (diagnosis), Chorea (physiopathology), Complication, Computerized axial tomography, Diagnosis, Dominance, Cerebral (physiology), Dystonia (diagnosis), Dystonia (physiopathology), Electromyography, Female, Humans, Intracranial Hemorrhages (diagnosis), Intracranial Hemorrhages (physiopathology), Involuntary movement, Lesion, Magnetic Resonance Imaging, Male, Middle Aged, Myorhythmia, Nuclear magnetic resonance imaging, Posterior Thalamic Nuclei (blood supply), Posterior Thalamic Nuclei (physiopathology), Posterolateral thalamus, Symptomatology, Syndrome, Thalamic Diseases (diagnosis), Thalamic Diseases (physiopathology), Thalamus, Tomography, X-Ray Computed, Vascular lesions.
- MESH :
- blood supply : Posterior Thalamic Nuclei.
- diagnosis : Brain Ischemia, Cerebral Infarction, Chorea, Dystonia, Intracranial Hemorrhages, Thalamic Diseases.
- innervation : Arm.
- physiology : Dominance, Cerebral.
- physiopathology : Brain Ischemia, Cerebral Infarction, Chorea, Dystonia, Intracranial Hemorrhages, Posterior Thalamic Nuclei, Thalamic Diseases.
- Adult, Aged, Brain Mapping, Electromyography, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Tomography, X-Ray Computed.
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
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abnormal movements</term>
<term>Adult</term>
<term>Aged</term>
<term>Anatomoclinical correlations</term>
<term>Arm (innervation)</term>
<term>Brain Ischemia (diagnosis)</term>
<term>Brain Ischemia (physiopathology)</term>
<term>Brain Mapping</term>
<term>Cerebral Infarction (diagnosis)</term>
<term>Cerebral Infarction (physiopathology)</term>
<term>Chorea (diagnosis)</term>
<term>Chorea (physiopathology)</term>
<term>Complication</term>
<term>Computerized axial tomography</term>
<term>Diagnosis</term>
<term>Dominance, Cerebral (physiology)</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (physiopathology)</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Intracranial Hemorrhages (diagnosis)</term>
<term>Intracranial Hemorrhages (physiopathology)</term>
<term>Involuntary movement</term>
<term>Lesion</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Myorhythmia</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Posterior Thalamic Nuclei (blood supply)</term>
<term>Posterior Thalamic Nuclei (physiopathology)</term>
<term>Posterolateral thalamus</term>
<term>Symptomatology</term>
<term>Syndrome</term>
<term>Thalamic Diseases (diagnosis)</term>
<term>Thalamic Diseases (physiopathology)</term>
<term>Thalamus</term>
<term>Tomography, X-Ray Computed</term>
<term>Vascular lesions</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Posterior Thalamic Nuclei</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Brain Ischemia</term>
<term>Cerebral Infarction</term>
<term>Chorea</term>
<term>Dystonia</term>
<term>Intracranial Hemorrhages</term>
<term>Thalamic Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Arm</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Dominance, Cerebral</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain Ischemia</term>
<term>Cerebral Infarction</term>
<term>Chorea</term>
<term>Dystonia</term>
<term>Intracranial Hemorrhages</term>
<term>Posterior Thalamic Nuclei</term>
<term>Thalamic Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Brain Mapping</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term>
<term>Complication</term>
<term>Diagnostic</term>
<term>Imagerie RMN</term>
<term>Lésion</term>
<term>Mouvement involontaire</term>
<term>Symptomatologie</term>
<term>Syndrome</term>
<term>Thalamus</term>
<term>Tomodensitométrie</term>
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<front><div type="abstract" xml: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.</div>
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<affiliations><list><country><li>Argentine</li>
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<tree><country name="Argentine"><noRegion><name sortKey="Lera, Gabriel" sort="Lera, Gabriel" uniqKey="Lera G" first="Gabriel" last="Lera">Gabriel Lera</name>
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<name sortKey="Cammarota, Angel" sort="Cammarota, Angel" uniqKey="Cammarota A" first="Angel" last="Cammarota">Angel Cammarota</name>
<name sortKey="Fischbein, Gustavo" sort="Fischbein, Gustavo" uniqKey="Fischbein G" first="Gustavo" last="Fischbein">Gustavo Fischbein</name>
<name sortKey="Garcia, Silvia" sort="Garcia, Silvia" uniqKey="Garcia S" first="Silvia" last="Garcia">Silvia Garcia</name>
<name sortKey="Gershanik, Oscar" sort="Gershanik, Oscar" uniqKey="Gershanik O" first="Oscar" last="Gershanik">Oscar Gershanik</name>
<name sortKey="Scipioni, Osualdo" sort="Scipioni, Osualdo" uniqKey="Scipioni O" first="Osualdo" last="Scipioni">Osualdo Scipioni</name>
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