Pure hemidystonia with basal ganglion abnormalities on positron emission tomography.

Abstract:

:We present a patient with hemidystonia and an abnormality of the contralateral basal ganglion seen only with positron emission tomography. A 50-year-old sinistral man suffered minor trauma to the right side of his head and neck. Within 20 minutes he developed paroxysmal intermittent dystonic posturing of his right face, forearm, hand, and foot, with weaker contractions of the left foot, lasting several seconds and recurring every few minutes. Neurological findings between spells were normal. The following were also normal: electrolyte, calcium, magnesium, and arterial blood gas levels, and findings of drug screen, cerebrospinal fluid examination, electroencephalography with nasopharyngeal leads, computed tomographic scanning (initially and four weeks later), and cerebral angiography. Positron emission tomographic scanning revealed abnormalities in the left basal ganglion region, including decreased oxygen metabolism, decreased oxygen extraction, increased blood volume, and increased blood flow.

journal_name

Ann Neurol

journal_title

Annals of neurology

authors

Perlmutter JS,Raichle ME

doi

10.1002/ana.410150303

subject

Has Abstract

pub_date

1984-03-01 00:00:00

pages

228-33

issue

3

eissn

0364-5134

issn

1531-8249

journal_volume

15

pub_type

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