Tourettism and dystonia after subcortical stroke
Identifieur interne : 004255 ( Main/Exploration ); précédent : 004254; suivant : 004256Tourettism and dystonia after subcortical stroke
Auteurs : Carolyn H. Kwak [États-Unis] ; Joseph Jankovic [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-07.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Enfant.
English descriptors
- KwdEn :
- Adult, Attention Deficit Disorder with Hyperactivity (diagnosis), Attention Deficit Disorder with Hyperactivity (etiology), Attention Deficit Disorder with Hyperactivity (physiopathology), Basal Ganglia Hemorrhage (complications), Basal Ganglia Hemorrhage (diagnosis), Basal Ganglia Hemorrhage (physiopathology), Case study, Caudate Nucleus (physiopathology), Child, Complication, Dominance, Cerebral (physiology), Dystonia, Dystonia (diagnosis), Dystonia (etiology), Dystonia (physiopathology), Follow-Up Studies, Humans, Hyperactivity, Infarction, Middle Cerebral Artery (complications), Infarction, Middle Cerebral Artery (diagnosis), Infarction, Middle Cerebral Artery (physiopathology), Magnetic Resonance Imaging, Male, Neurologic Examination, Obsessive compulsive disorder, Psychiatric Status Rating Scales, Putamen (physiopathology), Stroke, Subcortex, Tic, Tourette Syndrome (diagnosis), Tourette Syndrome (etiology), Tourette Syndrome (physiopathology), Young adult, attention deficit hyperactivity disorder, dystonia, obsessive compulsive disorder, stroke, tourettism.
- MESH :
- complications : Basal Ganglia Hemorrhage, Infarction, Middle Cerebral Artery.
- diagnosis : Attention Deficit Disorder with Hyperactivity, Basal Ganglia Hemorrhage, Dystonia, Infarction, Middle Cerebral Artery, Tourette Syndrome.
- etiology : Attention Deficit Disorder with Hyperactivity, Dystonia, Tourette Syndrome.
- physiology : Dominance, Cerebral.
- physiopathology : Attention Deficit Disorder with Hyperactivity, Basal Ganglia Hemorrhage, Caudate Nucleus, Dystonia, Infarction, Middle Cerebral Artery, Putamen, Tourette Syndrome.
- Adult, Child, Follow-Up Studies, Humans, Magnetic Resonance Imaging, Male, Neurologic Examination, Psychiatric Status Rating Scales.
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
Url:
DOI: 10.1002/mds.10207
Affiliations:
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Le document en format XML
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<term>Attention Deficit Disorder with Hyperactivity (physiopathology)</term>
<term>Basal Ganglia Hemorrhage (complications)</term>
<term>Basal Ganglia Hemorrhage (diagnosis)</term>
<term>Basal Ganglia Hemorrhage (physiopathology)</term>
<term>Case study</term>
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<term>Dystonia (diagnosis)</term>
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<term>Dystonia (physiopathology)</term>
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<term>Infarction, Middle Cerebral Artery (physiopathology)</term>
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<term>Male</term>
<term>Neurologic Examination</term>
<term>Obsessive compulsive disorder</term>
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<term>Putamen (physiopathology)</term>
<term>Stroke</term>
<term>Subcortex</term>
<term>Tic</term>
<term>Tourette Syndrome (diagnosis)</term>
<term>Tourette Syndrome (etiology)</term>
<term>Tourette Syndrome (physiopathology)</term>
<term>Young adult</term>
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<term>dystonia</term>
<term>obsessive compulsive disorder</term>
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<term>Infarction, Middle Cerebral Artery</term>
<term>Tourette Syndrome</term>
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<term>Tourette Syndrome</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Attention Deficit Disorder with Hyperactivity</term>
<term>Basal Ganglia Hemorrhage</term>
<term>Caudate Nucleus</term>
<term>Dystonia</term>
<term>Infarction, Middle Cerebral Artery</term>
<term>Putamen</term>
<term>Tourette Syndrome</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Child</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
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<term>Neurologic Examination</term>
<term>Psychiatric Status Rating Scales</term>
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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>
</front>
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