Document Detail

Hemidystonia secondary to carotid artery gunshot injury.
MedLine Citation:
PMID:  9224919     Owner:  NLM     Status:  MEDLINE    
A 9-year-old boy was accidentally shot at close range with a pistol. The bullet entered through the left anterior neck and severed the left common carotid artery. Emergency surgery was performed with an end-to-end anastomosis. He recovered gradually from severe right-sided hemiparesis. CT scans demonstrated left parietal infarction. Within months he developed right hemidystonia, which progressed over the next few years. The movement disorder was refractory to medical therapy. MR scans showed a large demarcated defect in the left parietal lobe extending to the occipital lobe, to the insula and to the posterior ventral putamen. At age 18 the patient underwent a staged left-sided thalamotomy. The hemidystonia improved postoperatively but later partially recurred.
J K Krauss; J Jankovic
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  13     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-09-22     Completed Date:  1997-09-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  285-8     Citation Subset:  IM    
Department of Neurosurgery, Baylor College of Medicine, Houston, TX 77030, USA.
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MeSH Terms
Carotid Artery Injuries*
Carotid Artery, Common / surgery
Cerebral Infarction / etiology,  surgery
Dystonia / etiology*,  surgery
Functional Laterality / physiology
Parietal Lobe / blood supply
Postoperative Complications / etiology*,  surgery
Stereotaxic Techniques
Thalamus / surgery
Wounds, Gunshot / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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