Movement Disorders (revue)

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Tourettism and dystonia after subcortical stroke.

Identifieur interne : 000849 ( Ncbi/Curation ); précédent : 000848; suivant : 000850

Tourettism and dystonia after subcortical stroke.

Auteurs : Carolyn H. Kwak [États-Unis] ; Joseph Jankovic [États-Unis]

Source :

RBID : pubmed:12210884

English descriptors

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:12210884

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<term>Adult</term>
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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>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>Infarction, Middle Cerebral Artery</term>
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<term>Attention Deficit Disorder with Hyperactivity</term>
<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>
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<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>
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