Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?

Tremor and Other Hyperkinetic Movements

article

Krithi Irmady¹  Bahman Jabbari¹  Elan D. Louis¹ 

[1] Department of Neurology, Yale School of Medicine, Yale University;Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University;Center for Neuroepidemiology and Clinical Neurological Research, Yale School of Medicine, Yale University

关键词: Post-stroke movement;    dystonia;    levitation;    synkinesis;    spasticity;   

DOI  :  10.5334/tohm.260

学科分类：社会科学、人文和艺术（综合）

来源: Ubiquity Press

【 摘 要 】

Background: Post-stroke movement disorders occur in up to 4% of stroke patients. The movements can be complex and difficult to classify, which presents challenges when attempting to understand the clinical phenomenology and provide appropriate treatment. Case Report: We present a 64-year-old male with an unusual movement in the arm contralateral to his ischemic stroke. The primary feature of the movement was an involuntary elevation of the arm, occurring only when he was walking. Discussion: The differential diagnosis includes dystonia, spontaneous arm levitation, synkinesis, and spasticity.We discuss each of these diagnostic possibilities in detail.

【 授权许可】

CC BY