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Can a stroke present with flexor spasms? A highly rare experience.

Yasir Mehmood Malik1, Abubaker Abdulrahman Almadani1, Jaeed Ahmed Dar1

  • 1Rashid Hospital, Dubai, United Arab Emirates.

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|March 14, 2014
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Summary

Basal ganglia ischemia rarely causes involuntary movement disorders. A case study highlights intermittent spasms and weakness from putaminal infarction, suggesting cerebral lesions can trigger such symptoms.

Keywords:
basal ganglia infarctionflexor spasmmovement disorderputaminal infarctionstroke

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Area of Science:

  • Neurology
  • Neuroscience
  • Cerebrovascular Diseases

Background:

  • Involuntary movement disorders are uncommon presentations of basal ganglia ischemia.
  • Cerebrovascular diseases account for up to 22% of secondary movement disorders.
  • Involuntary movements occur in 1-4% of stroke cases.

Observation:

  • A middle-aged woman experienced intermittent tonic spasms and weakness.
  • Symptoms were linked to contralateral putaminal infarction.
  • Initial diagnosis of Todd's paralysis delayed thrombolysis.

Findings:

  • The patient developed dense hemiplegia post-infarction.
  • Flexor spasms, typically seen in spinal cord lesions, occurred with a cerebral lesion.
  • This suggests possible spinal cord disinhibition due to the cerebral lesion.

Implications:

  • This case expands the understanding of movement disorders secondary to cerebrovascular events.
  • It highlights the potential for basal ganglia lesions to induce spinal cord disinhibition.
  • Further research is needed to elucidate the mechanisms of involuntary movements in cerebral lesions.