Focal Dystonia with Primary Medullary Hemorrhage.
- Author:
Hea Won KONG
1
;
Eun Jung KOO
;
Chang Ho YUN
;
Choong Kun HA
Author Information
1. Department of Neurology, Inha University College of Medicine, Incheon, Korea. ych333@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Focal dystonia;
Medullary hemorrhage;
Reticulospinal tract
- MeSH:
Aged;
Ataxia;
Brain;
Dysarthria;
Dystonia;
Dystonic Disorders*;
Extremities;
Facial Paralysis;
Hand;
Hemorrhage*;
Humans;
Magnetic Resonance Imaging;
Medulla Oblongata;
Neurologic Examination;
Paresthesia;
Wrist
- From:Journal of the Korean Neurological Association
2004;22(6):649-651
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a patient with hand dystonia related with primary medullary hemorrhage. A 69-year-old man presented with dysarthria, right facial palsy, limb paresthesia, and limb ataxia of acute onset. Neurologic examination revealed abnormal tonic posturing of the right hand and wrist that persisted while at rest. Brain MRI showed acute hemorrhage at the right posteromedial medulla oblongata extending to the upper cervical cord. Ipsilateral limb dystonia might result from the interruption of the reticulospinal tract, sensory or olivocerebellar pathway.
