Movement Disorders After Stroke in Adults: A Review

Bansil, S.; Prakash, Neel; Kaye, Joel; Wrigley, Sandra; Manata, Christina; Stevens-Haas, Claire; Kurlan, Roger

doi:10.7916/d86w98tb

Cited by 45 publications

(13 citation statements)

References 53 publications

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“…Because approximately 46% of PSMD cases develop within 7 d poststroke, they overlap with early seizures; therefore, differential diagnosis is vital ( 61 ). PSMD after an ischemic stroke can appear quickly, usually within 1 month ( 61 , 62 ). The frequencies of abnormal movements were as follows: dystonia (23%), chorea (16%), and myoclonus (15%) ( 61 , 62 ).…”

Section: Differential Diagnosis Of Poststroke Seizurementioning

confidence: 99%

Clinical approaches for poststroke seizure: a review

Ryu,

Kim,

Shin

et al. 2024

Front. Neurol.

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Poststroke seizure is a potential complication of stroke, which is the most frequent acute symptomatic seizure in adults. Patients with stroke may present with an abnormal or aggressive behavior accompanied by altered mental status and symptoms, such as hemiparesis, dysarthria, and sensory deficits. Although stroke manifestations that mimic seizures are rare, diagnosing poststroke seizures can be challenging when accompanied with negative postictal symptoms. Differential diagnoses of poststroke seizures include movement disorders, syncope, and functional (nonepileptic) seizures, which may present with symptoms similar to seizures. Furthermore, it is important to determine whether poststroke seizures occur early or late. Seizures occurring within and after 7 d of stroke onset were classified as early and late seizures, respectively. Early seizures have the same clinical course as acute symptomatic seizures; they rarely recur or require long-term antiseizure medication. Conversely, late seizures are associated with a risk of recurrence similar to that of unprovoked seizures in a patient with a focal lesion, thereby requiring long-term administration of antiseizure medication. After diagnosis, concerns regarding treatment strategies, treatment duration, and administration of primary and secondary prophylaxis often arise. Antiseizure medication decisions for the initiation of short-term primary and long-term secondary seizure prophylaxis should be considered for patients with stroke. Antiseizure drugs such as lamotrigine, carbamazepine, lacosamide, levetiracetam, phenytoin, and valproate may be administered. Poststroke seizures should be diagnosed systematically through history with differential diagnosis; in addition, classifying them as early or late seizures can help to determine treatment strategies.

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Section: Differential Diagnosis Of Poststroke Seizurementioning

confidence: 99%

Clinical approaches for poststroke seizure: a review

Ryu,

Kim,

Shin

et al. 2024

Front. Neurol.

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“…This marks an alarming increase of 81% since the year 2000 [7]. Parkinsonian tremors and other hyperkinetic conditions may also occur as a later manifestation in stroke patients [8]. With such high incidence rates, and keeping in view the fact, that these neurological diseases cannot be cured, effective and feasible methods are required for the continuous quantification of these patients living independently.…”

Section: Introductionmentioning

confidence: 99%

An Unobtrusive Method for Remote Quantification of Parkinson’s and Essential Tremor Using mm-Wave Sensing

2023

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“…Dystonia is a common movement disorder following stroke accounting for 20% of all cases, with putaminal lesions most commonly implicated. 1 Overflow dystonia can occur due to impaired intracortical inhibitory mechanisms in the supplementary motor area and connections. 2 The role of basal ganglia lesions in creating imbalance between overactive direct and underactive indirect pathways and leading to abnormal excitability of the cortex has been postulated in dystonia.…”

mentioning

confidence: 99%

“…Dystonia is a common movement disorder following stroke accounting for 20% of all cases, with putaminal lesions most commonly implicated . Overflow dystonia can occur due to impaired intracortical inhibitory mechanisms in the supplementary motor area and connections .…”

mentioning

confidence: 99%