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The effect of dopamine for focal hand dystonia after stroke

  • Bomi Sul
  • Joon Sung Kim
  • Bo Young Hong
  • Seong Hoon LimEmail author
Letter to the Editor
  • 35 Downloads

Dear Editor,

Abnormal movements after cerebrovascular diseases are rare manifestations; however, the symptoms can be devastating for the patients. The most common post-stroke abnormal movement disorder is reported as dystonia, which can involve the contralateral face, arm, or leg, and most cases involved a structural lesion in the basal ganglia, most commonly in the putamen [1]. Medical therapy is known to be not very effective; however, a small dosage of dopamine can be a safe option of treatment while activating and restoring the function of the striatum [2].

A 42-year-old, right-handed man presented with clumsiness of his left hand for the last several months. He demonstrated painful cramping of his left hand while trying to make a fist (Video 1). He confessed that he had experienced mild dysarthria 6 months ago, but it soon disappeared. At that point, he was diagnosed by cerebral infarction and has been taken antiplatelet therapy. After then, clumsiness and painful cramping of the...

Notes

Acknowledgements

The authors would like to acknowledge Hee Seung Sim for editing the video clips used in this article despite his battle with Duchene muscular dystrophy.

Supplementary material

10072_2019_3705_MOESM2_ESM.mp4 (33.8 mb)
Video 2 (MP4 34650 kb)

References

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Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Department of Rehabilitation Medicine, St. Vincent’s Hospital, College of MedicineThe Catholic University of KoreaSeoulRepublic of Korea

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