Progressive "vascular" corticobasal syndrome due to bilateral ischemic hemispheric lesions.
We report a patient that presented with the corticobasal syndrome (CBS), including progressive dementia, asymmetric parkinsonism associated with constructional and ideomotor apraxia, action myoclonus and focal hand dystonia. Magnetic resonance imaging of the brain revealed extensive ischemic lesions in both fronto-temporo-parieto-occipital lobes and steno-occlusion of the middle cerebral arteries, bilaterally. This case illustrates that extensive cortical vascular-ischemic lesions may present with symptoms mimicking the corticobasal syndrome.
Kim
Young-Do
YD
Department of Neurology, The Catholic University of Korea, Seoul, Korea.
Kim
Joong-Seok
JS
Lee
Eek-Sung
ES
Yang
Dong-Won
DW
Lee
Kwang-Soo
KS
Kim
Yeong-In
YI
D000368:Aged; D020240:Apraxia, Ideomotor / Q000209:etiology; D001479:Basal Ganglia / Q000473:pathology*; D002545:Brain Ischemia / Q000150:complications / Q000473:pathology*; D002343:Carotid Artery, Internal / Q000473:pathology; D002540:Cerebral Cortex / Q000473:pathology*; D003072:Cognition Disorders / Q000209:etiology; D003704:Dementia / Q000209:etiology; D004421:Dystonia / Q000209:etiology; D020233:Gait Disorders, Neurologic / Q000209:etiology; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D020768:Middle Cerebral Artery / Q000473:pathology; D009207:Myoclonus / Q000209:etiology; D013577:Syndrome