Advertisement

Journal of Neurology

, Volume 253, Issue 12, pp 1644–1645 | Cite as

Paroxysmal torticollis and blepharospasm following bilateral cerebellar Infarction

  • Killian O’Rourke
  • Sean O’Riordan
  • Jean Gallagher
  • Michael Hutchinson
LETTER TO THE EDITORS

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...

Keywords

Dystonia Migraine With Aura Oral Contraceptive Pill Posterior Inferior Cerebellar Artery Cervical Dystonia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Alarcon F, Zijlmans JCM, Duenas G, et al. (2004) Post-stroke movement disorders:report of 56 patients. J Neurol Neurosurg Psychiatry 75:1568–1574PubMedCrossRefGoogle Scholar
  2. 2.
    Vidailhet M, Dupel C, Lehericy S, et al. (1999) Dopaminergic dysfunction in midbrain dystonia. Arch Neurol 56:982–989PubMedCrossRefGoogle Scholar
  3. 3.
    LeDoux MS, Brady KA (2003) Secondary cervical dystonia associated with structural lesions of the central nervous system. Mov Disord 18:60–69PubMedCrossRefGoogle Scholar
  4. 4.
    Jankovic J, Patel SC (1983) Blepharospasm associated with brainstem lesions. Neurology 33:1237–1240PubMedGoogle Scholar
  5. 5.
    Pizoli CE, Jinnah HA, Billingsley ML, et al. (2002) Abnormal cerebellar signalling induces dystonia in mice. J Neurosci 22:7825–7833PubMedGoogle Scholar
  6. 6.
    Lehericy S, Gerardin E, Poline JB, et al. (2004) Motor execution and imagination networks in post-stroke dystonia. Neuroreport 15: 1887–1890PubMedCrossRefGoogle Scholar
  7. 7.
    Yates BJ, Jian BJ, Cotter LA, et al. (2000) Responses of vestibular nucleus neurons to tilt following chronic bilateral removal of vestibular inputs. Exp Brain Res 130:151–158PubMedCrossRefGoogle Scholar
  8. 8.
    Zennou-Azogni Y, Borel L, Lacour M, et al. (1993) Recovery of head postural control following unilateral vestibular neurectomy in the cat. Neck muscle activity and neuronal correlates in Deiters’ nuclei. Acta Otolaryngol Suppl 509:1–19Google Scholar
  9. 9.
    Spissu A, Cannas A, Ferrigno P, et al. (1999) Anatomic correlates of painful tonic spasms in multiple sclerosis. Mov Disord 14:331–335PubMedCrossRefGoogle Scholar

Copyright information

© Steinkopff Verlag Darmstadt 2006

Authors and Affiliations

  • Killian O’Rourke
    • 1
  • Sean O’Riordan
    • 1
  • Jean Gallagher
    • 1
  • Michael Hutchinson
    • 1
  1. 1.Department of NeurologySt. Vincent’s University HospitalDublin 4Ireland

Personalised recommendations