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- W4384382875 abstract "Case presentation: A 77-year-old female patient, previously hypertensive, was admitted to the emergency room due to involuntary movements in the right upper limb onset one day ago with no other associated complaints. During neurological examination she presented hemiparesis and hypoesthesia in the right dimidium of the body besides involuntary movements in the ipsilateral hand. Skull magnetic resonance imaging evidences hyperintensity on T2/ FLAIR sequences in areas of periventricular and left parietal white matter in accordance to a previous ischemic event. Discussion: Dystonia is a movement disorder caused by involuntary muscle contractions leading to repetitive or abnormal movements. It is related to hereditary, idiopathic or acquired causes, including the ones related to brain lesions of cerebrovascular etiologies, such as ischemia, hemorrhage and arteriovenous malformation and aneurysm. The diagnosis of dystonia is made clinically. The treatment consists of the application of botulinum toxin, oral medications such as clonazepam and baclofen. Conclusion: A challenge due to the numerous etiologies involved, dystonias are movement disorders that negatively impact patients’ self-esteem and independence. The present case is extremely relevant considering there was no reported prior complaint of focal neurological deficit, although an area consistent with cerebral ischemia was identified on cranial magnetic resonance imaging, correlated as the causative factor leading to the involuntary movement." @default.
- W4384382875 created "2023-07-15" @default.
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- W4384382875 date "2023-01-01" @default.
- W4384382875 modified "2023-09-30" @default.
- W4384382875 title "Focal dystonia after an ischemic stroke: case report" @default.
- W4384382875 doi "https://doi.org/10.5327/1516-3180.141s1.769" @default.
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