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The Italian Journal of Neurological Sciences

, Volume 13, Issue 6, pp 521–523 | Cite as

Paroxysmal dystonia due to a lesion of the cervical cord: Case report

  • Previdi P. 
  • Buzzi P. 
Case Reports

Abstract

A 48 year old woman complained of mild weakness and paresthesias of the left limbs, followed 15 days later by episodes of paroxysmal dystonia of the left limbs occurring several times daily over 10 day period. Magnetic resonance imaging (MRI) of head and neck revealed a small area of altered signal in the T2-weighted sequences in the left posterolateral quadrant of the cord at the second cervical vertebra. An MRI scan 18 months later showed no lesion. This is the second case of paroxysmal dystonia with a single MRI lesion in the cervical region on record.

Key Words

Paroxysmal dystonia 

Sommario

Una donna di 48 anni accusò lieve ipostenia e parestesie agli arti di sinistra. A 15 giorni dall'esordio di questa sintomatologia si manifestarono molti episodi giornalieri di distonia parossistica agli arti di sinistra, per la durata di 10 giorni. Un esame di Risonanza Magnetica Nucleare cerebrale e cervicale evidenziò, come unica lesione, una piccola zona di alterato segnale, nelle sezioni pesate in T2, nel quadrante postero-laterale sinistro del midollo cervicale alla altezza della seconda vertebra cervicale; a un controllo RMN a 18 mesi la lesione non era più evidente. Questo descritto è il secondo caso noto in letteratura di Distonia Parossistica con lesione unica alla RMN in regione cervicale.

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Copyright information

© Masson Italia Periodici S.r.l. 1992

Authors and Affiliations

  • Previdi P. 
    • 1
  • Buzzi P. 
    • 1
  1. 1.Divisione NeurologicaOspedale “Carlo Poma”Mantova

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