Dystonia after a bone fracture of the arm in a patient with a history of striato-pallidal ischemic stroke: a case report.
We report on a female with segmental dystonia of the upper limb after an anatomically related ischemic stroke. Dystonia developed almost 3 years after the onset of the stroke and immediately following the removal of the cast because of a bone fracture in the same limb. We discuss the case considering issues such as: delay-onset, lesion topography and pathophysiology, peripheral input and their possible contribution to the development of secondary dystonia.
Stathis
Pantelis
P
Department of Neurology, 1st Hospital of Social Security Services, Terma-Zaimi, 151-27, Melissia, Athens, Greece. statneur@hol.gr
Hampipi
Caterina
C
D002545:Brain Ischemia / Q000150:complications* / Q000473:pathology; D003342:Corpus Striatum / Q000473:pathology; D004421:Dystonia / Q000209:etiology* / Q000473:pathology; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D005917:Globus Pallidus / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020521:Stroke / Q000150:complications* / Q000473:pathology