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Kinesigenic Choreoathetosis due to Brain Injury

Published online by Cambridge University Press:  18 September 2015

J.C. Richardson ,
J.L. Howes ,
M.J. Celinski  and
R.G. Allman
J.C. Richardson
Affiliation:
Downsview Rehabilitation Centre, Toronto
J.L. Howes*
Affiliation:
Downsview Rehabilitation Centre, Toronto
M.J. Celinski
Affiliation:
Downsview Rehabilitation Centre, Toronto
R.G. Allman
Affiliation:
Downsview Rehabilitation Centre, Toronto
*
Workers' Compensation Board, 2 Bloor Street East, Toronto, Ontario, Canada M4W 3C3
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Abstract:

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This uncommon paroxysmal movement disorder featuring attacks of dystonic spasm with athetoid posturing is usually of idiopathic nature, often familial and starting in childhood. There are a few reported examples due to cerebral pathology, and only four previous cases due to brain trauma. We report here a 21 year old man with left-sided motor spasms, choreoathetoid in type, which were clearly caused by a right frontal penetrating injury with contusion and haemorrhage. The attacks were relieved by phenytoin therapy. In this case, it seems that the post-traumatic paroxysmal kinesigenic choreoathetosis may be a form of reflex epilepsy.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 14 , Issue 4 , November 1987 , pp. 626 - 628
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

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