Involuntary Flexor Spasms Associated with Basal Ganglia Infarction

J Korean Neurol Assoc > Volume 32(4); 2014 > Article

Journal of the Korean Neurological Association 2014;32(4): 289-292.

기저핵경색과 연관된 불수의굽힘근연축

안종현, 배은기 윤병남 최준용 권지원 김수정 이응석 하충건 최성혜

인하대학교 의과대학 신경과학교실

Involuntary Flexor Spasms Associated with Basal Ganglia Infarction

Jong-Hyeon Ahn

Department of Neurology, Inha University School of Medicine, Incheon, Korea

Abstract

Flexor spasm caused by stroke has been rarely reported. We describe a 79-year-old man who suddenly presented with flexor spasm of left limb and neck muscles. His symptoms consisted of recurrent episodes of brief paroxysmal flexor contractions of left limb and neck muscles without alteration of consciousness. Brain Magnetic Resonance Imaging revealed acute infarction in right basal ganglia. The abnormal movement was not associated with any epileptiform discharges in the video-electroencephalography monitoring. It was controlled with carbamazepine and phenytoin. Key Words: Basal ganglia, Infarction, Spasm