Post-stroke movement syndromes

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Post-stroke movement disorders Post-stroke movement disorders Treatment • Few large-scale studies have been possible due to small numbers and there are therefore no firm guidelines for the management of these conditions • Hemiballismus, hemichorea, athetosis – pharmacological therapy comprises anti-dopaminergic therapy with typical and atypical neuroleptics and catecholamine-depleting agents. • Dystonia - treatment options may be used alone or in combination – Botuline toxin injections have been a major breakthrough in the management – Other treatments include benzodiazepines, baclofen, anticholinergic drugs and dopamine-depleting/blocking agents
Post-stroke movement disorders Post-stroke movement disorders Treatment • Tremor is particularly refractory to drug treatment – Rubral and palatal tremor may respond to clonazepam and sodium valproate – Propranolol may help dampen tremor from all cases • Myoclonus – the most commonly used drugs are the GABAergic drugs, clonazepam and sodium valproate – Clonazepam is effective in all types of myoclonus – Sodium valproate is effective in cortical and subcortical myoclonus
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Post-stroke movement syndromes

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