Cervical demyelinating lesion presenting with choreoathetoid movements and dystonia

Abstract Pseudoathetosis and dystonia are rare manifestations of spinal cord disease that have been already reported in lesions involving the posterior columns at the cervical level. We report two patients with a cervical demyelinating lesion at C3 – C4 level presenting with hand dystonia and pseudo...

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Bibliographic Details
Published in:Journal of the neurological sciences 2016-09, Vol.368, p.203-205
Main Authors: de Pasqua, Silvia, Cevoli, Sabina, Calbucci, Fabio, Liguori, Rocco
Format: Article
Language:English
Subjects:
Cervical Vertebrae - pathology
Demyelinating Diseases - complications
Demyelinating Diseases - diagnostic imaging
Demyelinating lesion
Dystonia
Dystonia - complications
Dystonia - diagnostic imaging
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Movement Disorders - complications
Movement Disorders - diagnostic imaging
Neurology
Pseudoathetosis
Spinal cord
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Summary:Abstract Pseudoathetosis and dystonia are rare manifestations of spinal cord disease that have been already reported in lesions involving the posterior columns at the cervical level. We report two patients with a cervical demyelinating lesion at C3 – C4 level presenting with hand dystonia and pseudoathetoid movements. The movement disorder disappeared after steroid treatment. The cases we described highlight the importance of identifying secondary causes of movement disorders that can be reversible with appropriate therapy.
ISSN:0022-510X
1878-5883
DOI:10.1016/j.jns.2016.07.006