Unilateral periodic limb movement in sleep after supratentorial cerebral infarction.
We report a patient with involuntary right leg movements during sleep, which developed after acute ischemic stroke in the corona radiata. Nocturnal polysomnography confirmed the diagnosis of periodic limb movement in sleep (PLMS). Although the pathogenesis of PLMS is still controversial, it has been proposed that the loss of cortical or subcortical inhibition resulting from the pyramidal tract lesion might cause PLMS. The present case provides evidence to support this hypothesis.
Kang
Suk Y
SY
Department of Neurology and Brain Research Institute, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, South Korea.
Sohn
Young H
YH
Lee
Il K
IK
Kim
Jin-Soo
JS
D000328:Adult; D002544:Cerebral Infarction / Q000150:complications* / Q000473:pathology; D015259:Dopamine Agents / Q000627:therapeutic use; D004562:Electrocardiography; D004569:Electroencephalography; D006801:Humans; D007866:Leg; D007980:Levodopa / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D020189:Nocturnal Myoclonus Syndrome / Q000188:drug therapy / Q000209:etiology*; D017286:Polysomnography
D015259:Dopamine Agents; D007980:Levodopa