Abstract
The syndrome of the jerky dystonic hand is recognized as a consequence of infarction of the posterior thalamus. A patient with multiple risk factors for stroke developed jerky dystonia of more proximal involvement, affecting the shoulder and speech, several months after a stroke affecting the posterior thalamic region. The cause for the proximal, rather than distal, upper limb involvement, is unclear, and is not apparent from the distribution of the lesion on neuroimaging. Injections of botulinum toxin significantly improved the symptoms.
References
Nov 4, 1977·Brain Research·S I RapoportK D Pettigrew
Jan 1, 1989·Brain Research. Brain Research Reviews·T Hirai, E G Jones
Aug 1, 1994·Journal of Neurology·J GhikaF Regli
Oct 1, 1995·Neurosurgery·J JankovicW J Hamilton
Mar 1, 1996·Archives of Neurology·S LehéricyY Agid
Feb 6, 1998·Movement Disorders : Official Journal of the Movement Disorder Society·E M GattoM M Pardal
Nov 12, 1998·Journal of Neurology, Neurosurgery, and Psychiatry·P KrystkowiakA Destée
Sep 29, 2000·Movement Disorders : Official Journal of the Movement Disorder Society·B P BejjaniY Agid
Sep 26, 2001·Neurology·S LehéricyM Vidailhet
Aug 7, 2009·The Journal of Neuroscience : the Official Journal of the Society for Neuroscience·Miklos ArgyelanDavid Eidelberg
Apr 6, 2011·Proceedings of the National Academy of Sciences of the United States of America·Aziz M UluğDavid Eidelberg
Jan 4, 2013·Neurology·Maren CarbonDavid Eidelberg
Feb 13, 2013·Movement Disorders : Official Journal of the Movement Disorder Society·Anand I Rughani, Andres M Lozano
Mar 12, 2013·Experimental Neurology·Sandra M A van der SalmMarina A J Tijssen
Dec 18, 2013·Neuroscience·C N PrudenteH A Jinnah
May 20, 2014·Movement Disorders : Official Journal of the Movement Disorder Society·Mario ÁlvarezRaul Macías