Post-stroke movement syndromes

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Post-stroke movement disorders Abnormal movements and other associated stroke features • Myoclonus is a rare symptom in patients with stroke, and generalised myoclonus has not been reported. • Segmantal myoclonus has been reported in posterior circulation strokes particulary: – midbrain – pontine – thalamic Palatal myoclonus has been described in pontine or bulbar strokes
Post-stroke movement disorders Movement disorders Abnormal movements and other associated stroke features • Transient dyskinesias described as repetitive, involuntary „shaky limb” episodes have been reported in carotid territory TIAs in association with severe unilateral or bilateral carotid stenosis or with ischaemia of the vertobasilar system • They last a few seconds or minutes and can be precipitated by sitting or standing – They have been described as shaking, flapping or trembling and my be difficult to distinguish from epileptic seisures, although eeg during attacks do not show any epileptiform activity. – Diminished cerebral blood flow has been documented and symptoms may disappear after endarterectomy Ghica J, Bogousslavsky J Stroke Syndroms 2001 Ghica j et all J Neurol Science 1997,146,109 Tatemichi TK et all Stroke 1990,21,341
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Post-stroke movement syndromes

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