기저핵경색과 연관된 불수의굽힘근연축
Involuntary Flexor Spasms Associated with Basal Ganglia Infarction
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Flexor spasm caused by stroke has been rarely reported. We describe a 79-year-old man who suddenly presented withflexor spasm of left limb and neck muscles. His symptoms consisted of recurrent episodes of brief paroxysmal flexorcontractions of left limb and neck muscles without alteration of consciousness. Brain Magnetic Resonance Imagingrevealed acute infarction in right basal ganglia. The abnormal movement was not associated with any epileptiformdischarges in the video-electroencephalography monitoring. It was controlled with carbamazepine and phenytoin.
Abstract
Flexor spasm caused by stroke has been rarely reported. We describe a 79-year-old man who suddenly presented withflexor spasm of left limb and neck muscles. His symptoms consisted of recurrent episodes of brief paroxysmal flexorcontractions of left limb and neck muscles without alteration of consciousness. Brain Magnetic Resonance Imagingrevealed acute infarction in right basal ganglia. The abnormal movement was not associated with any epileptiformdischarges in the video-electroencephalography monitoring. It was controlled with carbamazepine and phenytoin.
참고문헌 (10)
- Mehanna R, "Movement disorders in cerebrovascular disease", Lancet Neurol, 12, pp.597~608 (2013)
- Alarcon F, "Post-stroke movement disorders: report of 56 patients", J Neurol Neurosurg Psychiatry, 75, pp.1568~1574 (2004)
- Maimone D, "Internal capsule plaque and tonic spasms in multiple sclerosis", Arch Neurol, 48, pp.427~429 (1991)
- Lee B, "A case of tonic spasm present-ing as sole manifestation of multiple sclerosis", J Korean Neurol Assoc, 19, pp.167~169 (2001)
- Merchut MP, "Painful tonic spasms caused by putaminal infarction", Stroke, 17, pp.1319~1321 (1986)
- Nicolai A, "Painful tonic spasms associated with sub-cortical infarction", Acta Neurol (Napoli), 15, pp.87~91 (1993)
- Kaufman DK, "Involuntary tonic spasms of a limb due to a brain stem lacunar infarction", Stroke, 25, pp.217~219 (1994)
- Malik YM, "Can a stroke present with flexor spasms? A highly rare experience", Ger Me Sci, 12, pp.Doc06~ (2014)[DOI]
- Brunser AM, "Accuracy of diffusion-weighted imaging in the diagnosis of stroke in patients with suspected cerebral infarct", Stroke, 44, pp.1169~1171 (2013)
- Yanagihara T, "Repetitive involuntary move-ment associated with episodic cerebral ischemia", Ann Neurol, 18, pp.244~250 (1985)
