Episodic astasia-abasia associated with hyper perfusion in the subthalamic region and dorsal brainstem
- Author:
Han-Joon Kim
;
Jee-Young Lee
;
Beom S Jeon M
- Publication Type:Case Reports
- From:Neurology Asia
2010;15(3):279-281
- CountryMalaysia
- Language:English
-
Abstract:
Astasia-abasia refers to the inability to stand or walk despite possessing good motor strength and
conserved voluntary coordination. Although it is usually regarded as a psychogenic disorder, organic
causes have been reported. Herein we describe a patient who presented with alcohol-induced episodic
astasia-abasia. Interestingly, SPECT performed during an episode showed hyperperfusion in the dorsal
brainstem and subthalamic region. These areas roughly coincide with the mesencephalic locomotor
region and subthalamic locomotor region, respectively, and it is conceivable that abnormal neural
activity in these areas is related to the symptoms in our patient.
- Full text:P020150902439868322645.pdf