?Rubral? tremor after thalamic haemorrhage

Mossuto-Agatiello, Luigi; Puccetti, Giovanni; Castellano, Anna Elisa

doi:10.1007/bf00870668

Cited by 46 publications

(14 citation statements)

References 12 publications

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“…21 Characteristic parkinsonian tremor was observed in four of seven patients with parkinsonism induced by 1-methy-4-phenyl-1,2,3,6-tetrahydropyridine, which causes selective neuronal damage in the substantia nigra. 21 Characteristic parkinsonian tremor was observed in four of seven patients with parkinsonism induced by 1-methy-4-phenyl-1,2,3,6-tetrahydropyridine, which causes selective neuronal damage in the substantia nigra.…”

Section: Discussionmentioning

confidence: 97%

¹²³ I-IPT brain SPECT study in essential tremor and Parkinson’s disease

Lee

Kim

et al. 1999

Neurology

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Section: Discussionmentioning

confidence: 97%

¹²³ I-IPT brain SPECT study in essential tremor and Parkinson’s disease

Lee

Kim

et al. 1999

Neurology

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“…nvoluntary abnormal movements (IAMs) caused by strokes are relatively common, [1][2][3][4] and chorea, [3][4][5][6][7][8][9][10][11][12][13][14][15] tremor, [16][17][18][19][20][21][22][23][24][25][26][27][28][29] dystonia, [30][31][32][33][34][35][36][37][38][39][40][41][42][43] parkinsonism, [44][45][46][47][48][49][50]…”

mentioning

confidence: 99%

Post-stroke movement disorders: report of 56 patients

Alarcón

2004

Journal of Neurology, Neurosurgery & Psychiatry

253

231

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Background: Although movement disorders that occur following a stroke have long been recognised in short series of patients, their frequency and clinical and imaging features have not been reported in large series of patients with stroke. Methods: We reviewed consecutive patients with involuntary abnormal movements (IAMs) following a stroke who were included in the Eugenio Espejo Hospital Stroke Registry and they were followed up for at least one year after the onset of the IAM. We determined the clinical features, topographical correlations, and pathophysiological implications of the IAMs. Results: Of 1500 patients with stroke 56 developed movement disorders up to one year after the stroke. Patients with chorea were older and the patients with dystonia were younger than the patients with other IAMs. In patients with isolated vascular lesions without IAMs, surface lesions prevailed but patients with deep vascular lesions showed a higher probability of developing abnormal movements. One year after onset of the IAMs, 12 patients (21.4%) completely improved their abnormal movements, 38 patients (67.8%) partially improved, four did not improve (7.1%), and two patients with chorea died. In the nested case-control analysis, the patients with IAMs displayed a higher frequency of deep lesions (63% v 33%; OR 3.38, 95% CI 1.64 to 6.99, p,0.001). Patients with deep haemorrhagic lesions showed a higher probability of developing IAMs (OR 4.8, 95% CI 0.8 to 36.6). Conclusions: Chorea is the commonest movement disorder following stroke and appears in older patients. Involuntary movements tend to persist despite the functional recovery of motor deficit. Deep vascular lesions are more frequent in patients with movement disorders.

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“…Most commonly this tremor is associated with pathology of the upper brainstem including tumours, vascular insults and multiple sclerosis 6 , 7. Pathology in the thalamus is a less common cause although tumours, cysts, vascular insults and abscesses leading to Holmes’ tremor have been described 4 , 8 , 9. The tremor is believed to result from disruption of the dentate–rubro–olivary and cerebello–thalamo–cortical pathways.…”

Section: Discussionmentioning

confidence: 99%