Premium
Primary CNS lymphoma presenting as a choreic movement disorder followed by segmental dystonia
Author(s) -
Poewe W. H.,
Kleedorfer B.,
Willeit J.,
Gerstenbrand F.
Publication year - 1988
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.870030406
Subject(s) - dystonia , chorea , medicine , torticollis , movement disorders , basal ganglia , cervical dystonia , basal ganglia disease , deep brain stimulation , psychology , pathology , surgery , disease , central nervous system , parkinson's disease , psychiatry
Clinical presentation of primary CNS lymphoma with an extrapyramidal movement disorder has not been recorded. A 66‐year‐old woman presented with chorea involving her left arm and subsequently developed rightsided segmental dystonia with prominent hemifacial dystonic spasms, milder torticollis and dystonia of the right arm. Investigations revealed primary CNS lymphoma with extensive involvement of the right‐sided basal ganglia as well as lesions confined to the head of the left caudate nucleus and the corpus callosum. Chorea of her left arm subsided with progressing disease while remission of right‐sided segmental dystonia was observed following radiotherapy of the brain. This patient's findings and a review of the literature suggest a possible relation between cranio‐cervical dystonia and pathology affecting the head of the caudate nucleus.