Post-stroke dyskinesias

Mohammad Obadah Nakawah, Eugene C Lai Stanely H. Appel Department of Neurology, Houston Methodist Neurological Institute, Houston, TX, USA Abstract: Strokes, whether ischemic or hemorrhagic, are among the most common causes of secondary movement disorders in elderly patients. Stroke-relat...

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Autores principales: Nakawah MO, Lai EC
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
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Acceso en línea:https://doaj.org/article/b0d338c6a2214ad8a76bfc1a00f74408
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spelling oai:doaj.org-article:b0d338c6a2214ad8a76bfc1a00f744082021-12-02T11:46:34ZPost-stroke dyskinesias1178-2021https://doaj.org/article/b0d338c6a2214ad8a76bfc1a00f744082016-11-01T00:00:00Zhttps://www.dovepress.com/post-stroke-dyskinesias-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Mohammad Obadah Nakawah, Eugene C Lai Stanely H. Appel Department of Neurology, Houston Methodist Neurological Institute, Houston, TX, USA Abstract: Strokes, whether ischemic or hemorrhagic, are among the most common causes of secondary movement disorders in elderly patients. Stroke-related (vascular) movement disorders, however, are uncommon complications of this relatively common disease. The spectrum of post-stroke movement disorders is broad and includes both hypo- and hyperkinetic syndromes. Post-stroke dyskinesias are involuntary hyperkinetic movements arising from cerebrovascular insults and often present with mixed phenotypes of hyperkinesia which can sometimes be difficult to classify. Nevertheless, identification of the most relevant motor phenotype, whenever possible, allows for a more specific phenomenological categorization of the dyskinesia and thus helps guide its treatment. Fortunately, post-stroke dyskinesias are usually self-limiting and resolve within 6 to 12 months of onset, but a short-term pharmacotherapy might sometimes be required for symptom control. Functional neurosurgical interventions targeting the motor thalamus or globus pallidus interna might be considered for patients with severe, disabling, and persistent dyskinesias (arbitrarily defined as duration longer than 12 months). Keywords: vascular dyskinesia, stroke, movement disordersNakawah MOLai ECDove Medical PressarticleVascular dyskinesiaStrokeMovement disordersNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 12, Pp 2885-2893 (2016)
institution DOAJ
collection DOAJ
language EN
topic Vascular dyskinesia
Stroke
Movement disorders
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Vascular dyskinesia
Stroke
Movement disorders
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Nakawah MO
Lai EC
Post-stroke dyskinesias
description Mohammad Obadah Nakawah, Eugene C Lai Stanely H. Appel Department of Neurology, Houston Methodist Neurological Institute, Houston, TX, USA Abstract: Strokes, whether ischemic or hemorrhagic, are among the most common causes of secondary movement disorders in elderly patients. Stroke-related (vascular) movement disorders, however, are uncommon complications of this relatively common disease. The spectrum of post-stroke movement disorders is broad and includes both hypo- and hyperkinetic syndromes. Post-stroke dyskinesias are involuntary hyperkinetic movements arising from cerebrovascular insults and often present with mixed phenotypes of hyperkinesia which can sometimes be difficult to classify. Nevertheless, identification of the most relevant motor phenotype, whenever possible, allows for a more specific phenomenological categorization of the dyskinesia and thus helps guide its treatment. Fortunately, post-stroke dyskinesias are usually self-limiting and resolve within 6 to 12 months of onset, but a short-term pharmacotherapy might sometimes be required for symptom control. Functional neurosurgical interventions targeting the motor thalamus or globus pallidus interna might be considered for patients with severe, disabling, and persistent dyskinesias (arbitrarily defined as duration longer than 12 months). Keywords: vascular dyskinesia, stroke, movement disorders
format article
author Nakawah MO
Lai EC
author_facet Nakawah MO
Lai EC
author_sort Nakawah MO
title Post-stroke dyskinesias
title_short Post-stroke dyskinesias
title_full Post-stroke dyskinesias
title_fullStr Post-stroke dyskinesias
title_full_unstemmed Post-stroke dyskinesias
title_sort post-stroke dyskinesias
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/b0d338c6a2214ad8a76bfc1a00f74408
work_keys_str_mv AT nakawahmo poststrokedyskinesias
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