Hostname: page-component-6bf8c574d5-956mj Total loading time: 0 Render date: 2025-02-24T08:38:51.647Z Has data issue: false hasContentIssue false
  • English
  • Français

Kinesigenic Choreoathetosis due to Brain Injury

Published online by Cambridge University Press:  18 September 2015

J.C. Richardson ,
J.L. Howes ,
M.J. Celinski  and
R.G. Allman
J.C. Richardson
Affiliation:
Downsview Rehabilitation Centre, Toronto
J.L. Howes*
Affiliation:
Downsview Rehabilitation Centre, Toronto
M.J. Celinski
Affiliation:
Downsview Rehabilitation Centre, Toronto
R.G. Allman
Affiliation:
Downsview Rehabilitation Centre, Toronto
*
Workers' Compensation Board, 2 Bloor Street East, Toronto, Ontario, Canada M4W 3C3
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This uncommon paroxysmal movement disorder featuring attacks of dystonic spasm with athetoid posturing is usually of idiopathic nature, often familial and starting in childhood. There are a few reported examples due to cerebral pathology, and only four previous cases due to brain trauma. We report here a 21 year old man with left-sided motor spasms, choreoathetoid in type, which were clearly caused by a right frontal penetrating injury with contusion and haemorrhage. The attacks were relieved by phenytoin therapy. In this case, it seems that the post-traumatic paroxysmal kinesigenic choreoathetosis may be a form of reflex epilepsy.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 4 , November 1987 , pp. 626 - 628
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

1.Kertesz, A.Paroxysmal kinesigenic choreoathetosis, Neurology 1967; 17: 680–690.CrossRefGoogle ScholarPubMed
2.Gowers, WR.Epilepsy and Other Convulsive Diseases Vol. 2, 1901: Philadelphia; Blakiston Co.Google Scholar
3.Lishman, WA, Symonds, CP, Whitty, CWM, Willison, RG.Seizures induced by movement. Brain 1962; 85: 93–109.CrossRefGoogle ScholarPubMed
4.Plant, G.Focal paroxysmal kinesigenic choreoathetosis. J Neurol Neurosurg Psychiatry 1983; 46: 345–348.CrossRefGoogle ScholarPubMed
5.Kinast, M, Erenberg, G, Rothner, A.Paroxysmal choreoathetosis: report of five cases and review of the literature. Pediatrics 1980; 65: 74–77.CrossRefGoogle ScholarPubMed
6.Mayeux, R, Fahn, S.Paroxysmal dystonic choreoathetosis in a patient with familial ataxia. Neurology 1982; 32: 1184–1185.CrossRefGoogle Scholar
7.Przuntek, H, Monninger, P.Therapeutic aspects of kinesigenic paroxysmal choreoathetosis and familial paroxysmal choreoathetosis of the Mount and Reback type. J Neurol 1983; 230: 163–169.CrossRefGoogle Scholar
8.Watson, R, Scott, W.Paroxysmal kinesigenic choreoathetosis and brain stem atrophy. Arch Neurol 1979; 36: 522.CrossRefGoogle ScholarPubMed
9.Gilroy, J.Abnormal computed tomograms in paroxysmal kinesigenic choreoathetosis. Arch Neurol 1982; 39: 779–780.CrossRefGoogle ScholarPubMed
10.Robin, JJ.Paroxysmal choreoathetosis following head injury. Ann Neurol 1977; 2: 447–448.CrossRefGoogle ScholarPubMed
11.Drake, ME, Jackson, RD, Miller, C.Paroxysmal choreoathetosis after head injury. J Neurol Neurosurg Psychiatry 1986;49:837–838.CrossRefGoogle ScholarPubMed
12.Rosen, JA.Paroxysmal choreoathetosis associated with perinatal hypoxic encephalopathy. Arch. Neurol 1964; 11: 385–387.CrossRefGoogle ScholarPubMed
13.Jacome, DE, Risko, M.Photic induced-driven PLEDs in paroxysmal dystonic choreoathetosis. Clinical Electroencephalography 1984; 15: 151–154.CrossRefGoogle ScholarPubMed