Posthemiplegic dystonia

Posthemiplegic dystonia is a rare complication of cerebrovascular accidents. Delayed onset of unilateral involuntary movements results in with abnormal postures after recovery fmm hemiplegia. Clinical features of posthemiplegic dystonia and therapeutic approaches to this disorder is reviewed with a case report. in our case, we observed improvement of the dlstonic posture with pharmacotherapy and this improvement is supported with EMG reports. Management of post-hemiplegic dystonia needs further investigation.

Özet

Posthemiplejik distoni serebrovasküler olayların nadir görülen bir komplikasyonudur. Hemipleji sonrasında geç başlangıçlı olarak ortaya çıkar ve unilateral istemsiz hareketler anormal postürler ile sonuçlanır. Posthemiplejik distonili hastalarda klinik özellikler ve tedavi yaklaşımları bir olgu sunumu ile özetlenmiştir. Olgumuzda uygulan medikal tedaviyle distonik postürde belirgin düzelme sağlanmış ve bu düzelme EMG kayıtlamalarıyla da desteklenmiştir. Posthemiplejik distoni tedavisi halen araştırmaya açık bir konudur.

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Cite This Article

ÖZ, B., MEMİŞ, A., KOÇ, R., ON, A., ÖLMEZ, N., GÜNAYDIN, R. (2022). Posthemiplegic dystonia. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 49 - Sayı: 6, 42–45. https://ajindex.com/articles/629343

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References (16)

Kamuran K, Nurcan Ö, Kranioserebral tutuluş. In: Ege Üniversitesi Tıp Fakültesi yayınları ed(s). Nöroloji Nörosirürji Bornova İzmir 1987: 60
Takahashi K, Mochizuki H, Yoshino H, İmai H et al. Posthemiplegic dystonia with a discrete lesion in the postero-lateral part of the contralateral putamen. Rinsho Shinkeigaku 1991; 31(6): 662-665
Hankey GJ, Sadka M. Late onset post-hemiplegic hemidystonia: CT and angiographic findings. Aust N Z J Med 1989; 19 (2): 147-150
Plum F, Posner JB. Disorders of the motor system. In: Dyson J ed(s). Cecil Essentials of Medicine. Philadelphia: WB Saunders Company, 1990; 730-766
Hammond WA. A treatise on disease of the nervous system New York: Appleton, 1871: 655-662
Apaydın H, Özekmekçi S,Yeni N. Posthemiplegic focal limp dystonia: a report of two cases. Clin Neurosurg 1988; 100(1): 46 50
Kurtaran A, Tıkız C, Dülgeroğlu D. Post hemiplejik distoni: olgu sunumu. Türk Fiz Tıp Rehab Der, 2001; 47(1): 54-57
Grimes JD, Hassan MN, Quarrington AM, D’Alton. Delayed-onset posthemiplegic dystonia: CT demostration of bazal ganglia pathology. Neurology 1982; 32(9): 103-105
Kosidog S, Ozer F, Sen A.Lesion location in developing poststroke hand dystonia. Eur Neurol 1998; 40(2): 99-104
K Burton, K.Farrel, D Li. Lesions of the putamen and dystonia: CT and magnetic resonance imaging. Neurology 1984; 34(7): 962-965
Lim SM, Oldfield M, Abbott RJ. Systemic lupus erythematosus presenting with steroid-responsive parkinsonizm and post-hemiplegic dystonia. Eur J Neurol 1998; 5(3): 309-312
Motoi Y, Hattori Y, Miwa H, Shina K et al. A case of post hemiplegic painfull dystonia following talamic infarction with good responce to botilinus toxine. Rinsho Shinkigaku 1997; 37(19): 881-886
Danos M, Georgokopoulos T, Avdelialis D. Late onset posthemiplegic dystonia in systemic lupus erythematosus. J Neurol Neurosurg Psychiatry 1988; 51(1): 151-152
Burcle RE, Fahn S,Gold AP. Delayed onset dystonia in patients with ‘static’ encephalopathy. J Neurol Neurosurgery Psychiatry 1980; 43: 789-797
Chiang CY, Lu CS. Delayed-onset posthemiplegic dystonia and imitation synkinesia. J Neurol Neurosurg Psychiatry 1990; 53(7): 623
Adams RD, Victor M. Degenerative diseases of the nervous system. Principles of Neurology. McGraw-Hill, 1993: 957-1010.