Paroxysmal torticollis and blepharospasm following bilateral cerebellar Infarction
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Sirs: Paroxysmal secondary dystonia is most frequently due to multiple sclerosis. We here present a case of paroxysmal cervical dystonia following bilateral cerebellar infarction; no similar syndrome has previously been reported.
A 35 year-old woman developed sudden weakness of her legs associated with vertigo, vomiting and blindness. These symptoms resolved within 24 hours of hospital admission; examination revealed a left superior homonymous paracentral scotoma with mild symmetric upper limb and moderate truncal ataxia. Three days later she developed frequent paroxysmal episodes of rotational torticollis to the right side with simultaneous bilateral blepharospasm. These episodes occurred without warning, were stereotyped in nature, and lasted 20-30 seconds without alteration of consciousness; they stopped when she rested in bed but immediately began on sitting and were further increased in frequency by standing and by mental arithmetic. In between attacks at rest there was no...
KeywordsDystonia Migraine With Aura Oral Contraceptive Pill Posterior Inferior Cerebellar Artery Cervical Dystonia
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