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Chapter 19 - Movement disorders in neoplastic brain disease

from Section IV - Movement disorders in general neurology

Published online by Cambridge University Press:  05 April 2014

By
Taku Hatano ,
Shin-ichiro Kubo ,
Nobutaka Hattori  and
Yoshikuni Mizuno
Edited by
Werner Poewe  and
Joseph Jankovic
Taku Hatano
Affiliation:
Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan
Shin-ichiro Kubo
Affiliation:
Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan
Nobutaka Hattori
Affiliation:
Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan
Yoshikuni Mizuno
Affiliation:
Department of Neurology, Juntendo University, School of Medicine, Tokyo; Department of Neuroregenerative Medicine, Kitasato University, School of Medicine, Kanagawa, Japan
Werner Poewe
Affiliation:
Medical University Innsbruck
Joseph Jankovic
Affiliation:
Baylor College of Medicine, Texas
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Summary

Introduction

Brain tumors are relatively uncommon and have a prevalence rate of 12 per 100,000 persons/year (Deangelis and Rosenfeld 2010). Symptoms of brain tumors may comprise both generalized and focal conditions. Common generalized symptoms include headaches, projectile vomiting, vertigo, cognitive decline, and personality changes. Focal symptoms tend to correspond to the anatomical localization of the tumor, and include focal seizures, hemiparesis, visual defect, and aphasia.

Movement disorders usually result from pathological alterations in the connectivity of the basal ganglia. Consequently, basal ganglia tumors are often associated with movement disorders such as dystonia, chorea, parkinsonism, and/or tremor. In addition, certain movement disorders can be caused by tumors in other brain regions. For instance, supratentorial tumors can cause parkinsonism, tremor, and dystonia (Krauss et al. 1991a; Krauss et al. 1995). Brainstem tumors are also associated with parkinsonism (Pohle and Krauss 1999), cervical dystonia (Krauss et al. 1997), and hemifacial spasm (Inoue et al. 1995). It is striking that tumors, particularly those affecting the basal ganglia or brainstem, may often cause mixed movement disorders, such as dystonia plus parkinsonism or tremor, dystonia plus chorea, tremor plus myoclonus, and many other combinations (Leenders et al. 1986; Poewe et al. 1988; Krauss et al. 1992).

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Movement Disorders in Neurologic and Systemic Disease , pp. 279 - 292
Publisher: Cambridge University Press
Print publication year: 2014

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  • Movement disorders in neoplastic brain disease
    • By Taku Hatano, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Shin-ichiro Kubo, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Nobutaka Hattori, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Yoshikuni Mizuno, Department of Neurology, Juntendo University, School of Medicine, Tokyo; Department of Neuroregenerative Medicine, Kitasato University, School of Medicine, Kanagawa, Japan
  • Edited by Werner Poewe, Joseph Jankovic, Baylor College of Medicine, Texas
  • Book: Movement Disorders in Neurologic and Systemic Disease
  • Online publication: 05 April 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781139175845.020
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  • Movement disorders in neoplastic brain disease
    • By Taku Hatano, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Shin-ichiro Kubo, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Nobutaka Hattori, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Yoshikuni Mizuno, Department of Neurology, Juntendo University, School of Medicine, Tokyo; Department of Neuroregenerative Medicine, Kitasato University, School of Medicine, Kanagawa, Japan
  • Edited by Werner Poewe, Joseph Jankovic, Baylor College of Medicine, Texas
  • Book: Movement Disorders in Neurologic and Systemic Disease
  • Online publication: 05 April 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781139175845.020
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  • Movement disorders in neoplastic brain disease
    • By Taku Hatano, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Shin-ichiro Kubo, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Nobutaka Hattori, Department of Neurology, Juntendo University, School of Medicine, Tokyo, Japan, Yoshikuni Mizuno, Department of Neurology, Juntendo University, School of Medicine, Tokyo; Department of Neuroregenerative Medicine, Kitasato University, School of Medicine, Kanagawa, Japan
  • Edited by Werner Poewe, Joseph Jankovic, Baylor College of Medicine, Texas
  • Book: Movement Disorders in Neurologic and Systemic Disease
  • Online publication: 05 April 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781139175845.020
Available formats
×