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Dystonia and akinesia due to pallidoputaminal lesions after disulfiram intoxication
Author(s) -
Krauss Joachim K.,
Mohadjer Mohsen,
Wakhloo Ajay K.,
Mundinger Fritz
Publication year - 1991
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.870060214
Subject(s) - disulfiram , dystonia , medicine , magnetic resonance imaging , putamen , movement disorders , myoclonus , anesthesia , levodopa , parkinson's disease , radiology , disease , psychiatry , pharmacology
A case with segmental cranial plus crural dystonia of delayed onset and akinesia after acute intoxication with disulfiram is presented. Computed tomography showed bilateral pallidal lesions, whereas on magnetic resonance imaging aditional small lesions of the putamen could be detected. Long‐term observation with progression and a change of symptoms over a period of 10 years after the intoxication is demonstrated on videotape. Although other central side effects after intoxication with disulfiram are well known, movement disorders are uncommon. Carbon disulfide, a disulfiram metabolite, may be important in the etiopathogenesis.