A Case of Dystonic Tremor with Left Hemiparesis in Cervicomedullary Infarction

J Korean Neurol Assoc > Volume 23(6); 2005 > Article

Journal of the Korean Neurological Association 2005;23(6): 817-819.

근육긴장이상떨림과 왼쪽 불완전마비를 동반한 경부척수-숨뇌 뇌경색 1예

김선혜, 최낙천a,b 손승남a 김지은a 최지혜a 박기종a,b 권오영a,b 임병훈a,b

경상대학교 의과대학 신경과학교실a, 경상대학교 건강과학연구원b

A Case of Dystonic Tremor with Left Hemiparesis in Cervicomedullary Infarction

Seonhye Kim

Department of Neurology, Gyeongsang National University College of Medicinea, Jinju; Gyeongsang Institute of Health Science, Gyeongsang National Universityb, Jinju, Korea

Abstract

The development of involuntary movement by the lesion in the brainstem and spinal cord has been rarely reported. We report a 56-year-old man who suffered from bilateral dystonic tremor and left hemiparesis by an acute cervicomedullary infarction. The patient had acute infarcted lesion on the anterior-medial cervicomedullary junction located at the inferior olivary nucleus. Current study suggests that the involvement of inferior olivary nucleus in lower medulla could be a cause to develop dystonic tremor by cervicomedullary lesions.KeyWords:Dystonia, Cervico-medullary infarction, Inferior olivary nucleus