Slowly progressive limb-kinetic apraxia with a decrease in unilateral cerebral blood flow

Acta Neurol Scand. 1992 Jul;86(1):76-81. doi: 10.1111/j.1600-0404.1992.tb08058.x.

Abstract

We report two patients with slowly progressive motor disorders, whose principal manifestations were asymmetric limb-kinetic apraxia and muscle rigidity. In both patients MRI revealed no responsible lesion, whereas single photon emission computed tomography (SPECT) showed a decrease in cerebral blood flow (CBF) in the unilateral hemisphere. One patient with mainly right-sided apraxia had a decreased CBF in the left central region between the frontal and parietal cortices, and the other patient with left-sided apraxia in the right parietal cortex. In agreement with asymmetric clinical symptoms, the regional CBF decrease in the unilateral cortical areas including the frontal and parietal cortices may suggest a degenerative disease, presumably diagnosed as having cortico-basal degeneration.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Apraxias / diagnosis
  • Apraxias / physiopathology*
  • Brain Ischemia / diagnosis
  • Brain Ischemia / physiopathology*
  • Dominance, Cerebral / physiology*
  • Female
  • Frontal Lobe / blood supply*
  • Functional Laterality / physiology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neurologic Examination
  • Parietal Lobe / blood supply*
  • Psychomotor Performance / physiology
  • Tomography, Emission-Computed, Single-Photon