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Related Experiment Video

Updated: Nov 8, 2025

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
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Post-stroke Movement Disorders: Clinical Spectrum, Pathogenesis, and Management.

Priyanka Tater1, Sanjay Pandey1

  • 1Department of Neurology, Govind Ballabh Pant Postgraduate Institute of Medical Education and Research, New Delhi, India.

Neurology India
|April 27, 2021
PubMed
Summary

Stroke can cause involuntary movements like hemichorea-hemiballism in adults and dystonia in children. These movement disorders vary in onset and have complex causes, with no established management guidelines due to their diversity.

Keywords:
Dystoniastroketremor

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Area of Science:

  • Neurology
  • Neuroscience
  • Movement Disorders

Background:

  • Involuntary movements occur in 1-4% of stroke survivors.
  • Associated with ischemic/hemorrhagic strokes impacting basal ganglia, thalamus, and connections.
  • Hemichorea-hemiballism is common in adults; dystonia in children post-stroke.

Purpose of the Study:

  • To review the spectrum of post-stroke movement disorders.
  • To discuss their varied onset and proposed pathophysiological mechanisms.
  • To highlight the lack of management guidelines.

Main Methods:

  • Literature review of reported cases and proposed mechanisms.
  • Analysis of different types of movement disorders following stroke.
  • Examination of temporal patterns (acute, delayed, progressive).

Main Results:

  • Identified hemichorea-hemiballism, dystonia, tremor, myoclonus, asterixis, stereotypies, and vascular parkinsonism.
  • Observed diverse onset times from immediate to delayed progressive courses.
  • Highlighted proposed mechanisms: neuronal plasticity, diaschisis, metabolic differences.

Conclusions:

  • Post-stroke movement disorders are heterogeneous.
  • Management strategies are lacking due to this diversity.
  • Further research is needed to understand and manage these conditions effectively.