Focal Dystonia and Lacunar Infarction of the Basal Ganglia

1983 ◽  
Vol 40 (1) ◽  
pp. 61 ◽  
Author(s):  
Louis S. Russo
2021 ◽  
pp. 197140092110428
Author(s):  
Keisuke Koizumi ◽  
Hiromasa Sato ◽  
Masahiro Ebitani ◽  
Kikuko Kaneko ◽  
Kazuhiro Oguchi ◽  
...  

We investigated the pathogenic relationship between cerebral microbleeds and lacunar strokes. Two cases of lacunar strokes in the region of the basal ganglia, a 72-year-old man and a 67-year-old man, were studied; both cases showed cerebral microbleeds in the stroke areas. The cerebral microbleeds were surrounded by oedema, and the oedema faded out over time, suggesting the cerebral microbleeds had developed acutely. The cerebral microbleeds were located at the ventrolateral edge of the lacunar infarctions, and the locations appeared to be at or near the sites of occlusion of the lenticulostriatal branches. Although a cerebral microbleed and a lacunar infarction may be two unrelated events on juxtapositioned vessels, or a cerebral microbleed may be haemorrhagic conversion of an infarction, a cerebral microbleed could cause an occlusion of the arterial branch, leading to lacunar infarction of its supplying territories.


Neurology ◽  
1981 ◽  
Vol 31 (Issue 4, Part 2) ◽  
pp. 452-455 ◽  
Author(s):  
C. S. Kase ◽  
G. O. Maulsby ◽  
E. deJuan ◽  
J. P. Mohr

Neurosurgery ◽  
1993 ◽  
Vol 32 (6) ◽  
pp. 1056
Author(s):  
Mark S. LeDoux ◽  
Joan F. Lorden

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Antonella Conte ◽  
Gina Ferrazzano ◽  
Daniele Belvisi ◽  
Nicoletta Manzo ◽  
Antonio Suppa ◽  
...  

Background. The somatosensory temporal discrimination threshold (STDT) is defined as the shortest interval at which an individual recognizes two stimuli as asynchronous. Some evidence suggests that STDT depends on cortical inhibitory interneurons in the basal ganglia and in primary somatosensory cortex. Several studies have reported that the STDT in patients with dystonia is abnormal. No longitudinal studies have yet investigated whether STDT values in different forms of focal dystonia change during the course of the disease.Methods. We designed a follow-up study on 25 patients with dystonia (15 with blepharospasm and 10 with cervical dystonia) who were tested twice: upon enrolment and 8 years later. STDT values from dystonic patients at the baseline were also compared with those from a group of 30 age-matched healthy subjects.Results. Our findings show that the abnormally high STDT values observed in patients with focal dystonia remained unchanged at the 8-year follow-up assessment whereas disease severity worsened.Conclusions. Our observation that STDT abnormalities in dystonia remain unmodified during the course of the disease suggests that the altered activity of inhibitory interneurons—either at cortical or at subcortical level—responsible for the increased STDT does not deteriorate as the disease progresses.


2016 ◽  
Vol 129 (8) ◽  
pp. 942-945 ◽  
Author(s):  
Ying Zhang ◽  
Ying-Chun Zhang ◽  
Yu-Jing Sheng ◽  
Xiao-Fang Chen ◽  
Cai-Shan Wang ◽  
...  
Keyword(s):  

Neurology ◽  
1981 ◽  
Vol 31 (4) ◽  
pp. 452-452 ◽  
Author(s):  
C. S. Kase ◽  
G. O. Maulsby ◽  
E. deJuan ◽  
J. P. Mohr

Author(s):  
Vladimir S. Kostià ◽  
Marina Stojanovié-Svetel ◽  
Aleksandra Kacar

ABSTRACT:Background:Symptomatic (secondary) dystonias associated isolated lesions in the brain provide insight into etiopathogenesis of the idiopathic form of dystonia and are a basis for establishing the possible correlation between the anatomy of a lesion and the type of dystonia according to muscles affected.Methods:In 358 patients with differently distributed dystonias, a group of 16 patients (4.5%) was encountered in whom dystonia was associated with focal brain lesions.Results:Of the 16 patients, 3 patients had generalized, 3 segmental and 4 hemidystonia, while the remaining 6 patients had focal dystonia. The most frequent etiologies were infarction in 7, and tumor in 4 patients. These lesions were usually found in the lenticular and caudate nucleus, thalamus, and in the case of blepharospasm in the upper brainstem.Conclusions:Our results support the suggestion that dystonia is caused by a dysfunction of the basal ganglia.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Haiting Zhou ◽  
Tsering Tashi ◽  
Deli Zhao ◽  
Sonam Tsring ◽  
Hongwei Liang ◽  
...  

AbstractIn this study, the relationship between the brain parenchymal density, the cerebral vessel density, the mean corpuscular hemoglobin (MCH) content, the mean corpuscular hemoglobin concentration (MCHC), and the morbidity associated with lacunar infarction of residents living in either the plains or the plateau regions were analyzed and compared for their potential clinical implications. Clinical data from the brain CT scans of individuals living in either the plain or plateau regions (129 each) were collected. Specifically, the CT values for basal ganglia, the middle cerebral artery, and the superior sagittal sinus, along with the number of patients with lacunar infarction, were collected. In addition, the MCH and MCHC values were measured in blood samples collected within 48 h following the CT scans. For statistical analysis, an independent sample t-test, Pearson's correlation test (permutation test), and Chi-squared test were employed. The inhabitants of the plateau had a significantly higher CT value of basal ganglia, the middle cerebral artery, and superior sagittal sinus and also higher levels of MCH and MCHC in the blood (ps < 0.001) than the inhabitants of the plains region. Further, there was a significant positive correlation between the three aforementioned CT values and the MCH and MCHC findings. However, no significant differences were found in the morbidity of lacunar infarction between these two regions (p > 0.05). The inhabitants in the plateau have a significantly higher brain parenchymal density, higher CT value for cerebral vessels density, and higher blood MCH and MCHC levels in comparison with individuals occupying the plains. Concurrently, the parenchymal density and the CT values are shown to be positively correlated with the MCH and MCHC content in the blood.


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