Session Information
Date: Monday, September 23, 2019
Session Title: Other
Session Time: 1:45pm-3:15pm
Location: Agora 2 West, Level 2
Objective: To define prevalence of post-stroke movement disorders and correlate their clinical presentation with infarct localisation.
Background: Stroke related movement disorders are rare, they can present acutely or can develop later. This study present prevalence of post-stroke movement disorders (PSMD),their clinical presentation and association with anatomical localisation of the lesion.
Method: 1300 post-stroke patients between 2016 and 2018 were analysed. 24 of them developed movement disorders after stroke. Their data were reviewed. PSMD clinical features were correlated with lesion topography investigated with magnetic resonance imaging (MRI).
Results: 1,85 % (24) patients with mean age 67,5 (49-82) ) of 1300 stroke patient developed PSMD. 51,7%(11Our ) men and 58,3%(13) woman. Onset of movement disorders varies from 3rd day up to 8 month after stroke. Transient and mostly persistent dystonia developed in 37,5%(9) patients and was associated in 66,7,% (6) with striatum and in 33,3%(3) with thalamic lesions. Transient chorea developed in 29,15% (7) and was associated in 85,7% (6)with striatum/ striatocapsular and 14,3%(1) thalamic lesions. Persistent resting-postural-kinetic tremor present in 20,85%(5) patients after thalamic (80%) and frontal lobe (20%)stroke. Two patients developed restless leg syndrome after striatocapsular infacts and 1 patient present with transient eye and face myokimia after pontine infarcts.
Conclusion: According to our study PSMD are rare (1,85%) complication of stroke. Our data show prevalence of hyperkinetic movement disorders after stroke, with the most common presentation as dystonia ,transient chorea and resting-postural-kinetic tremor. Dystonia developed mostly due to striatal and thalamic lesion, transient chorea due to striatal/striatocapsular infarcts and tremor was associated mostly with thalamic and very rarely cortical lesion.Restless leg syndrome and transient myokimia are rare PSMD and can present after striatocapsular and pontine infarcts respectively.
To cite this abstract in AMA style:
M. Burzhunova, N. Garabova, L. Geraskina. Post-stroke movement disorders: an analysis of 24 cases [abstract]. Mov Disord. 2019; 34 (suppl 2). https://www.mdsabstracts.org/abstract/post-stroke-movement-disorders-an-analysis-of-24-cases/. Accessed June 14, 2025.« Back to 2019 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/post-stroke-movement-disorders-an-analysis-of-24-cases/