Tourettism and dystonia after subcortical stroke.
Identifieur interne : 000849 ( Ncbi/Curation ); précédent : 000848; suivant : 000850Tourettism and dystonia after subcortical stroke.
Auteurs : Carolyn H. Kwak [États-Unis] ; Joseph Jankovic [États-Unis]Source :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
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), Caudate Nucleus (physiopathology), Child, Dominance, Cerebral (physiology), Dystonia (diagnosis), Dystonia (etiology), Dystonia (physiopathology), Follow-Up Studies, Humans, Infarction, Middle Cerebral Artery (complications), Infarction, Middle Cerebral Artery (diagnosis), Infarction, Middle Cerebral Artery (physiopathology), Magnetic Resonance Imaging, Male, Neurologic Examination, Psychiatric Status Rating Scales, Putamen (physiopathology), Tourette Syndrome (diagnosis), Tourette Syndrome (etiology), Tourette Syndrome (physiopathology).
- 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.
DOI: 10.1002/mds.10207
PubMed: 12210884
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pubmed:12210884Le document en format XML
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<author><name sortKey="Kwak, Carolyn H" sort="Kwak, Carolyn H" uniqKey="Kwak C" first="Carolyn H" last="Kwak">Carolyn H. Kwak</name>
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<term>Attention Deficit Disorder with Hyperactivity (etiology)</term>
<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>Caudate Nucleus (physiopathology)</term>
<term>Child</term>
<term>Dominance, Cerebral (physiology)</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (etiology)</term>
<term>Dystonia (physiopathology)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Infarction, Middle Cerebral Artery (complications)</term>
<term>Infarction, Middle Cerebral Artery (diagnosis)</term>
<term>Infarction, Middle Cerebral Artery (physiopathology)</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Neurologic Examination</term>
<term>Psychiatric Status Rating Scales</term>
<term>Putamen (physiopathology)</term>
<term>Tourette Syndrome (diagnosis)</term>
<term>Tourette Syndrome (etiology)</term>
<term>Tourette Syndrome (physiopathology)</term>
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<term>Basal Ganglia Hemorrhage</term>
<term>Dystonia</term>
<term>Infarction, Middle Cerebral Artery</term>
<term>Tourette Syndrome</term>
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<term>Dystonia</term>
<term>Tourette Syndrome</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Dominance, Cerebral</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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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
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<term>Neurologic Examination</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.</div>
</front>
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