Focal Dystonia with Primary Medullary Hemorrhage

J Korean Neurol Assoc > Volume 22(6); 2004 > Article

Journal of the Korean Neurological Association 2004;22(6): 649-651.

연수출혈과 연관된 국소성 이긴장증

공혜원, 구은정 윤창호 하충건

인하대학교 의과대학 신경과학교실

Focal Dystonia with Primary Medullary Hemorrhage

Hea-Won Kong

Department of Neurology, Inha University College of Medicine, Incheon, Korea

Abstract

We report a patient with hand dystonia related with primary medullary hemorrhage. A 69-year-old man presented with dysarthria, right facial palsy, limb paresthesia, and limb ataxia of acute onset. Neurologic examination revealed abnormal tonic posturing of the right hand and wrist that persisted while at rest. Brain MRI showed acute hemorrhage at the right posteromedial medulla oblongata extending to the upper cervical cord. Ipsilateral limb dystonia might result from the interruption of the reticulospinal tract, sensory or olivocerebellar pathway.Key Words: Focal dystonia, Medullary hemorrhage, Reticulospinal tract