Hemibody tremor related to stroke

Sophie Dethy, André Luxen, Luc M. Bidaut, Serge Goldman

    Research output: Contribution to journalArticlepeer-review

    26 Citations (Scopus)

    Abstract

    Background: Hemibody tremor is an uncommon manifestation of stroke. We describe a case investigated by both brain magnetic resonance imaging and positron emission tomography using [18F]fluorodeoxyglucose.
    Case Description: Three months after a pure motor stroke, a 65-year-old man developed a right arm and leg tremor. The tremor was of large amplitude, intermittent at rest; its frequency was 5 to 6 Hz. Neither rigidity nor akinesia was detected, and administration of L-dopa was ineffective. Brain magnetic resonance imaging revealed an ischemic lesion in the left centrum semiovale and a left
    caudate lacunar infarction. We suspected that the resting unilateral tremor was related to this lacunar lesion. Positron emission tomography demonstrated glucose hypermetabolism in the left sensorimotor cortex.
    Conclusions: This case suggests that unilateral tremor may be related to a lacunar stroke in the caudate nucleus and may be accompanied by an increased glucose metabolism in the contralateral sensorimotor cortex.

    Original languageEnglish
    Pages (from-to)2094-2096
    Number of pages3
    JournalStroke
    Volume24
    Issue number12
    DOIs
    Publication statusPublished - Dec 1993

    Keywords

    • Aged
    • Cerebral Infarction
    • Glucose
    • Hemiplegia
    • Humans
    • Magnetic Resonance Imaging
    • Male
    • Time Factors
    • Tomography, Emission-Computed
    • Tremor

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