title: Cervical dystonia caused by focal putaminal ischemia.
abstract: We describe a 48-year-old woman with putaminal gliosis and a sphenoid wing meningioma at the left, who developed dystonia restricted to cervical regions. We propose the following causal chain: the meningioma led to an occlusion of a lenticulo-striatal branch of the middle cerebral artery that caused ventral putaminal ischemia and finally resulting in symptomatic dystonia. The previously reported relevance of the infarcted regions to the pathophysiology of dystonia supports this assumption. Implications for the diagnostic procedure of dystonia will be discussed.
authors.affiliation: Department of Neurology Medical Faculty University Düsseldorf Düsseldorf Germany; Institute of Clinical Neuroscience and Medical Psychology Heinrich Heine University Düsseldorf Germany.
authors.forename: Lars
authors.initials: L
authors.lastname: Dinkelbach
authors.affiliation: Department of Neurology Medical Faculty University Düsseldorf Düsseldorf Germany.
authors.forename: Christian Johannes
authors.initials: CJ
authors.lastname: Hartmann
authors.affiliation: Department of Diagnostic and Interventional Radiology Medical Faculty University Düsseldorf Düsseldorf Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Mathys
authors.affiliation: Department of Neurology Medical Faculty University Düsseldorf Düsseldorf Germany; Institute of Clinical Neuroscience and Medical Psychology Heinrich Heine University Düsseldorf Germany.
authors.forename: Lars
authors.initials: L
authors.lastname: Wojtecki
authors.affiliation: Department of Neurosurgery Medical Faculty University Düsseldorf Düsseldorf Germany.
authors.forename: Daniel
authors.initials: D
authors.lastname: Hänggi
authors.affiliation: Department of Neurology Medical Faculty University Düsseldorf Düsseldorf Germany; Institute of Clinical Neuroscience and Medical Psychology Heinrich Heine University Düsseldorf Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Südmeyer