Hemibody tremor related to stroke

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

doi:10.1161/01.STR.24.12.2094

Hemibody tremor related to stroke

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

Research output: Contribution to journal › Article › peer-review

29 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 language	English
Pages (from-to)	2094-2096
Number of pages	3
Journal	Stroke
Volume	24
Issue number	12
DOIs	https://doi.org/10.1161/01.STR.24.12.2094
Publication status	Published - Dec 1993

Keywords

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

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10.1161/01.STR.24.12.2094

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title = "Hemibody tremor related to stroke",

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.",

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

author = "Sophie Dethy and Andr{\'e} Luxen and Bidaut, \{Luc M.\} and Serge Goldman",

year = "1993",

month = dec,

doi = "10.1161/01.STR.24.12.2094",

language = "English",

volume = "24",

pages = "2094--2096",

journal = "Stroke",

issn = "0039-2499",

publisher = "Wolters Kluwer Health",

number = "12",

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TY - JOUR

T1 - Hemibody tremor related to stroke

AU - Dethy, Sophie

AU - Luxen, André

AU - Bidaut, Luc M.

AU - Goldman, Serge

PY - 1993/12

Y1 - 1993/12

N2 - 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.

AB - 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.

KW - Aged

KW - Cerebral Infarction

KW - Glucose

KW - Hemiplegia

KW - Humans

KW - Magnetic Resonance Imaging

KW - Male

KW - Time Factors

KW - Tomography, Emission-Computed

KW - Tremor

U2 - 10.1161/01.STR.24.12.2094

DO - 10.1161/01.STR.24.12.2094

M3 - Article

C2 - 8248993

SN - 0039-2499

VL - 24

SP - 2094

EP - 2096

JO - Stroke

JF - Stroke

IS - 12

ER -

Hemibody tremor related to stroke

Abstract

Keywords

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