Abstract

VIZCARRA, Joaquin A.  and  SUH, Jimmy. Clinical Reasoning: From Hypokinesia To Hyperkinesia: An 86-Year-Old-Woman With Abnormal Movements. Rev Ecuat Neurol [online]. 2023, vol.32, n.1, pp.93-97. ISSN 2631-2581.  https://doi.org/10.46997/revecuatneurol32100093.

An 86-year-old woman presented with an acute onset of confusion, garbled speech, and decreased left arm movement. On exam, she had a forced right gaze, left homonymous hemianopsia, left hemiparesis, and left face and arm hypoesthesia. Forty-eight hours after successful revascularization therapies, the patient started complaining of abnormal involuntary movements. This manuscript discusses the phenomenology of these involuntary movements, their neuroanatomical correlates, management, and evolution. Neurologists should be mindful of post-stroke movement disorders, their latency period after stroke, and the functional-anatomic networks involved.

Keywords : case report; chorea; stroke; mechanical thrombectomy.

        · abstract in Spanish     · text in English     · English ( pdf )