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Mov Disord. 2014 Aug;29(9):1188-90. doi: 10.1002/mds.25889. Epub 2014 May 17.

Dystonia and tremor secondary to thalamic infarction successfully treated with thalamotomy of the ventralis intermedius nucleus.

Author information

1
Movement Disorders Unit, International Center for Neurological Restoration (CIREN), Habana, Cuba.

Abstract

BACKGROUND:

Focal thalamic lesions have been associated with a variety of involuntary movements such as tremor, dystonia, and chorea-ballism.

METHODS:

We describe a patient with severe hyperkinesias of the right arm secondary to a thalamic infarction in the left postero-ventral region of the thalamus.

RESULTS:

The dystonia and tremor of the right upper limb were subsequently controlled with another surgical lesion of the ventralis intermedius nucleus of the thalamus.

CONCLUSION:

This observation suggests that ablative surgery might be applied to treat a movement disorder induced by the lesion of the same nucleus, which in addition lead to interesting pathophysiological conjectures.

KEYWORDS:

VIM; dystonia; thalamic infarction; thalamotomy; tremor

PMID:
24839270
DOI:
10.1002/mds.25889
[Indexed for MEDLINE]

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