Movement Disorders (revue)

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Orthostatic paroxysmal dystonia.

Identifieur interne : 000857 ( Ncbi/Checkpoint ); précédent : 000856; suivant : 000858

Orthostatic paroxysmal dystonia.

Auteurs : Kapil D. Sethi [États-Unis] ; Ki Hyeong Lee ; Vasanti Deuskar ; David C. Hess

Source :

RBID : pubmed:12210892

English descriptors

Abstract

A 52-year-old man with a history of cerebrovascular disease presented with a 3-year history of paroxysmal hemidystonia precipitated by assuming an upright position after sitting or lying down. MRA showed occlusion of the contralateral internal carotid artery (ICA) and near-total occlusion of the ipsilateral ICA. Subtraction single proton emission computed tomography demonstrated decreased perfusion in the contralateral frontoparietal cortex during the typical dystonic spell. We have coined the term "orthostatic paroxysmal dystonia" for this phenomenon.

DOI: 10.1002/mds.10182
PubMed: 12210892


Affiliations:


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pubmed:12210892

Le document en format XML

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<nlm:affiliation>Department of Neurology, Medical College of Georgia, Augusta, Georgia 30912, USA. ksethi@neuro.mcg.edu</nlm:affiliation>
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<term>Dominance, Cerebral (physiology)</term>
<term>Dystonia (physiopathology)</term>
<term>Dystonia (radionuclide imaging)</term>
<term>Frontal Lobe (blood supply)</term>
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<term>Magnetic Resonance Angiography</term>
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<term>Middle Aged</term>
<term>Parietal Lobe (blood supply)</term>
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<term>Posture (physiology)</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
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<term>Frontal Lobe</term>
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<term>Carotid Stenosis</term>
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<term>Dystonia</term>
<term>Frontal Lobe</term>
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<div type="abstract" xml:lang="en">A 52-year-old man with a history of cerebrovascular disease presented with a 3-year history of paroxysmal hemidystonia precipitated by assuming an upright position after sitting or lying down. MRA showed occlusion of the contralateral internal carotid artery (ICA) and near-total occlusion of the ipsilateral ICA. Subtraction single proton emission computed tomography demonstrated decreased perfusion in the contralateral frontoparietal cortex during the typical dystonic spell. We have coined the term "orthostatic paroxysmal dystonia" for this phenomenon.</div>
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