Hemiplegic cerebral palsy complicated by acute hemidystonia in adulthood

Practical Implication:Dystonia following a perinatal injury can have a long latency period in decades, sometimes difficult to treat and may not respond to medical therapy, where deep brain stimulation is another treatment option.Background:Dystonia is defined as a movement disorder characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive, movements, postures, or both, and hemidystonia is dystonic posturing involving one side. (1) Our patient had adolescent-onset, persistent, progressive hemidystonia ( Axis 1 ) secondary to contralateral basal ganglia injury at birth (Axis 2 ) according to recent consensus. (1) He presented as an acute hemidystonic attack with rhabdomyolysis (CPK = 6500 IU/L) and involvement of bulbar and respiratory system with no new structural lesion which is a rare presentation of delayed hemidystonia following perinatal injury.

Porażenie splotu barkowego u niemowlęcia jako objaw guza kanału kręgowego – opis przypadku

A brachial plexus palsy is rare in infants, particularly if it is not related to any perinatal injury. An abnormal mass pressing the nerves should be included in the differentiation. The differential diagnosis allows for defining the scope and etiology of pathological masses on the neck. We present the case of an infant with a brachial plexus palsy. The clinical examination and the subsequent imaging examination have shown the presence of a nodular change in the soft tissues of the neck. The change was connected with the mass located intramedullary. Additionally, there was a focal change located subependymally in the stem of the right lateral ventricle. The histopathology test has shown the presence of a multifocal AT/RT tumour. Conclusions. 1. In the case of a brachial plexus palsy in infants, particularly after the neonatal period, intraspinal tumours should be included in the differential diagnosis. 2. AT/RT tumours are rare, but they occur relatively more often in children above the age of 3.