Transient cerebral ischemia masquerading as paroxysmal dyskinesia

David C Hess; Fenwick T Nichols; Kapil Dev Sethi; Robert J. Adams

doi:10.1159/000108817

Transient cerebral ischemia masquerading as paroxysmal dyskinesia

David C Hess, Fenwick T Nichols, Kapil Dev Sethi, Robert J. Adams

Neurology

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Hemiballism and hemichorea are recognized manifestations of cerebral infarction. Paroxysmal dyskinesias are less well recognized symptoms of transient cerebral ischemia. We describe a 41-year-old man with distal internal carotid artery occlusion and poor intracranial collatcrization who developed repetitive stereotyped involuntary arm movements and subsequent cerebral infarction. This peculiar manifestation of transient cerebral ischemia may indicate poor intracranial collateralization with reliance upon leptomeningeal collaterals. Earlier recognition may help avert cerebral infarction.

Original language	English (US)
Pages (from-to)	54-57
Number of pages	4
Journal	Cerebrovascular Diseases
Volume	1
Issue number	1
DOIs	https://doi.org/10.1159/000108817
State	Published - Jan 1 1991

Keywords

Internal carotid occlusion
Paroxysmal dyskinesia
Transient ischemic attack

ASJC Scopus subject areas

Neurology
Clinical Neurology
Cardiology and Cardiovascular Medicine

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10.1159/000108817

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abstract = "Hemiballism and hemichorea are recognized manifestations of cerebral infarction. Paroxysmal dyskinesias are less well recognized symptoms of transient cerebral ischemia. We describe a 41-year-old man with distal internal carotid artery occlusion and poor intracranial collatcrization who developed repetitive stereotyped involuntary arm movements and subsequent cerebral infarction. This peculiar manifestation of transient cerebral ischemia may indicate poor intracranial collateralization with reliance upon leptomeningeal collaterals. Earlier recognition may help avert cerebral infarction.",

keywords = "Internal carotid occlusion, Paroxysmal dyskinesia, Transient ischemic attack",

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AU - Nichols, Fenwick T

AU - Sethi, Kapil Dev

AU - Adams, Robert J.

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Y1 - 1991/1/1

N2 - Hemiballism and hemichorea are recognized manifestations of cerebral infarction. Paroxysmal dyskinesias are less well recognized symptoms of transient cerebral ischemia. We describe a 41-year-old man with distal internal carotid artery occlusion and poor intracranial collatcrization who developed repetitive stereotyped involuntary arm movements and subsequent cerebral infarction. This peculiar manifestation of transient cerebral ischemia may indicate poor intracranial collateralization with reliance upon leptomeningeal collaterals. Earlier recognition may help avert cerebral infarction.

AB - Hemiballism and hemichorea are recognized manifestations of cerebral infarction. Paroxysmal dyskinesias are less well recognized symptoms of transient cerebral ischemia. We describe a 41-year-old man with distal internal carotid artery occlusion and poor intracranial collatcrization who developed repetitive stereotyped involuntary arm movements and subsequent cerebral infarction. This peculiar manifestation of transient cerebral ischemia may indicate poor intracranial collateralization with reliance upon leptomeningeal collaterals. Earlier recognition may help avert cerebral infarction.

KW - Internal carotid occlusion

KW - Paroxysmal dyskinesia

KW - Transient ischemic attack

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Transient cerebral ischemia masquerading as paroxysmal dyskinesia

Abstract

Keywords

ASJC Scopus subject areas

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