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Movement disorders in cerebrovascular disease
Raja Mehanna1, Joseph Jankovic
1Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, Houston, TX, USA.
Cerebrovascular diseases, particularly strokes, can cause secondary movement disorders like parkinsonism and hyperkinetic conditions. These involuntary movements can appear immediately or be delayed after a stroke event.
Area of Science:
- Neurology
- Neuroscience
- Movement Disorders
Background:
- Movement disorders stem from primary, genetic, neurodegenerative, or secondary causes.
- Cerebrovascular diseases account for up to 22% of secondary movement disorders.
- 1-4% of strokes result in the development of involuntary movements.
Purpose of the Study:
- To review the spectrum of movement disorders following cerebrovascular events.
- To categorize the timing and types of post-stroke movement disorders.
- To highlight the neuroanatomical basis of these conditions.
Main Methods:
- Literature review of studies on cerebrovascular diseases and movement disorders.
- Analysis of reported cases of post-stroke involuntary movements.
- Categorization based on clinical presentation and stroke etiology.
Main Results:
- Post-stroke movement disorders encompass parkinsonism and hyperkinetic types (chorea, ballism, dystonia, tremor, etc.).
- Onset can be acute, subacute, or delayed and progressive.
- Affected areas include basal ganglia and associated structures following various stroke types.
Conclusions:
- Cerebrovascular events are a significant cause of secondary movement disorders.
- Understanding the diverse manifestations and timing is crucial for diagnosis and management.
- Further research into pathophysiology and treatment is warranted.
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