Affiliation:
1. N.V. Sklifosovskii Research Institute of Emergency Medical Care
2. N.V. Sklifosovskii Research Institute of Emergency Medical Care; A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Abstract
There are two clinical cases. In the first case, the stroke began with a monosymptom — cervical dystonia. The second case had a more complex movement disorder with symptoms of dystonia. In the first clinical case, the patient was young. He had symptoms of involuntary movements in the neck. The course of the stroke was mild. It resulted in complete regression of the neurological defect. In the second case, the patient was elderly. If not given the right help it would have been fatal. In both cases, the focus of ischemia in the brain was verified by neuroimaging.Conclusion. An acutely developed syndrome of involuntary movements requires a mandatory CT scan of the brain, and in the absence of pathology on the CT scan, an MRI of the brain.
Publisher
Medical Informational Agency Publishers
Reference18 articles.
1. Dystonia. Clinical guidelines. Moscow; 2021. Available at: https://legalacts.ru/doc/klinicheskie-rekomendatsii-distonijautv-minzdravom-rossii/ [Accessed August 30, 2023] (In Russ.).
2. Kanovsky P., Bhatia K.P., Rosales R.L. Dystonia and Dystonic Syndromes. Springer, Vienna; 2015. https://doi.org/10.1007/978-3-7091-1516-9
3. Levin O.S., Illarioshkin S.N., Golubev V.L. Extrapyramidal syndromes. Moscow. 2022:772 p. (In Russ.).
4. Albanese A., Bhatia K., Bressman S.B., Delong M.R., Fahn S., Fung V.S., Hallett M., Jankovic J., Jinnah H.A., Klein C., Lang A.E., Mink J.W., Teller J.K. Phenomenology and classification of dystonia: a consensus update. Mov Disord. 2013;28(7):863–873. https://doi.org/10.1002/mds.2547
5. Wagle Shukla A. Basis of movement control in dystonia and why botulinum toxin should influence it? Toxicon. 2023:107251. https://doi.org/10.1016/j.toxicon.2023.107251 Online ahead of print.