Acute and reversible micrographia in a patient possibly due to cerebral ischaemia.
We report a patient who developed acute and reversible micrographia, presumably due to cerebral ischaemia, on a background of mutism following a pharyngo-laryngectomy 10 years earlier. Magnetic resonance (MR) imaging showed chronic small vessel disease without evidence of an acute ischaemic lesion on diffusion-weighted sequences. Our patient's micrographia improved significantly within 12 days of symptom onset. The MR imaging was performed within 5 days of symptom onset, suggesting that the lesion was either too small for detection or had resolved on diffusion-weighted sequences.
Perrin
M
M
Department of Neurology, Bankstown-Lidcombe Hospital, Bankstown, NSW, Australia.
Cordato
D J
DJ
Fung
V S
VS
Wong
D
D
D000368:Aged; D002545:Brain Ischemia / Q000150:complications / Q000523:psychology*; D005260:Female; D006236:Handwriting; D006801:Humans; D007825:Laryngectomy; D008279:Magnetic Resonance Imaging; D009127:Muscle Rigidity / Q000209:etiology / Q000523:psychology; D009460:Neurologic Examination; D010611:Pharyngectomy; D014057:Tomography, X-Ray Computed