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

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 wi...

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Autores principales: Irmady, Krithi, Jabbari, Bahman, Louis, Elan D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2015
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681881/
https://www.ncbi.nlm.nih.gov/pubmed/26682091
http://dx.doi.org/10.7916/D8222TBH
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author Irmady, Krithi
Jabbari, Bahman
Louis, Elan D.
author_facet Irmady, Krithi
Jabbari, Bahman
Louis, Elan D.
author_sort Irmady, Krithi
collection PubMed
description 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.
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spelling pubmed-46818812015-12-17 Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity? Irmady, Krithi Jabbari, Bahman Louis, Elan D. Tremor Other Hyperkinet Mov (N Y) Case Reports 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. Columbia University Libraries/Information Services 2015-12-11 /pmc/articles/PMC4681881/ /pubmed/26682091 http://dx.doi.org/10.7916/D8222TBH Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution–Noncommerical–No Derivatives License, which permits the user to copy, distribute, and transmit the work provided that the original author and source are credited; that no commercial use is made of the work; and that the work is not altered or transformed.
spellingShingle Case Reports
Irmady, Krithi
Jabbari, Bahman
Louis, Elan D.
Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?
title Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?
title_full Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?
title_fullStr Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?
title_full_unstemmed Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?
title_short Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?
title_sort arm posturing in a patient following stroke: dystonia, levitation, synkinesis, or spasticity?
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681881/
https://www.ncbi.nlm.nih.gov/pubmed/26682091
http://dx.doi.org/10.7916/D8222TBH
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