| Hemidystonia secondary to carotid artery gunshot injury. | |
MedLine Citation:
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PMID: 9224919 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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J K Krauss; J Jankovic |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 1997-09-22 Completed Date: 1997-09-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: GERMANY |
Other Details:
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Languages: eng Pagination: 285-8 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Baylor College of Medicine, Houston, TX 77030, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Carotid Artery Injuries* Carotid Artery, Common / surgery Cerebral Infarction / etiology, surgery Dystonia / etiology*, surgery Functional Laterality / physiology Humans Male Parietal Lobe / blood supply Postoperative Complications / etiology*, surgery Reoperation Stereotaxic Techniques Thalamus / surgery Wounds, Gunshot / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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