Skip to main content
NCBI home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1994 Aug;57(8):987–989. doi: 10.1136/jnnp.57.8.987

Rest tremor and extrapyramidal symptoms after midbrain haemorrhage: clinical and 18F-dopa PET evaluation.

G L Defer 1, P Remy 1, D Malapert 1, F Ricolfi 1, Y Samson 1, J D Degos 1
PMCID: PMC1073089  PMID: 8057126

Abstract

A 25 year old man had an acute subarachnoid haemorrhage due to the rupture of a right peduncular subthalamic arteriovenous malformation. Seven months later he developed a left rest tremor associated with mild bilateral extrapyramidal symptoms and responsive to levodopa treatment. Surface EMG recording showed synchronous activity of agonist and antagonist muscles in the left limbs. A PET 18F-dopa study showed a large decrease of the Ki value in the right striatum. One year after the stroke a persistent postural component developed in the tremor.

Full text

PDF
987

Images in this article

988Image
on p.988

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andrew J., Fowler C. J., Harrison M. J. Tremor after head injury and its treatment by stereotaxic surgery. J Neurol Neurosurg Psychiatry. 1982 Sep;45(9):815–819. doi: 10.1136/jnnp.45.9.815. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Andrews C. J., Burke D., Lance J. W. The comparison of tremors in normal, Parkinsonian and athetotic man. J Neurol Sci. 1973 May;19(1):53–61. doi: 10.1016/0022-510x(73)90056-7. [DOI] [PubMed] [Google Scholar]
  3. Barbeito L., Girault J. A., Godeheu G., Pittaluga A., Glowinski J., Cheramy A. Activation of the bilateral corticostriatal glutamatergic projection by infusion of GABA into thalamic motor nuclei in the cat: an in vivo release study. Neuroscience. 1989;28(2):365–374. doi: 10.1016/0306-4522(89)90183-8. [DOI] [PubMed] [Google Scholar]
  4. Biary N., Cleeves L., Findley L., Koller W. Post-traumatic tremor. Neurology. 1989 Jan;39(1):103–106. doi: 10.1212/wnl.39.1.103. [DOI] [PubMed] [Google Scholar]
  5. Fass B., Butcher L. L. Evidence for a crossed nigrostriatal pathway in rats. Neurosci Lett. 1981 Mar 10;22(2):109–113. doi: 10.1016/0304-3940(81)90072-0. [DOI] [PubMed] [Google Scholar]
  6. Findley L. J., Gresty M. A. Suppression of "rubral" tremor with levodopa. Br Med J. 1980 Oct 18;281(6247):1043–1043. doi: 10.1136/bmj.281.6247.1043. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Leenders K. L., Frackowiak R. S., Quinn N., Brooks D., Sumner D., Marsden C. D. Ipsilateral blepharospasm and contralateral hemidystonia and parkinsonism in a patient with a unilateral rostral brainstem-thalamic lesion: structural and functional abnormalities studied with CT, MRI, and PET scanning. Mov Disord. 1986;1(1):51–58. doi: 10.1002/mds.870010107. [DOI] [PubMed] [Google Scholar]
  8. Patlak C. S., Blasberg R. G. Graphical evaluation of blood-to-brain transfer constants from multiple-time uptake data. Generalizations. J Cereb Blood Flow Metab. 1985 Dec;5(4):584–590. doi: 10.1038/jcbfm.1985.87. [DOI] [PubMed] [Google Scholar]
  9. Pettigrew L. C., Jankovic J. Hemidystonia: a report of 22 patients and a review of the literature. J Neurol Neurosurg Psychiatry. 1985 Jul;48(7):650–657. doi: 10.1136/jnnp.48.7.650. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Samie M. R., Selhorst J. B., Koller W. C. Post-traumatic midbrain tremors. Neurology. 1990 Jan;40(1):62–66. doi: 10.1212/wnl.40.1.62. [DOI] [PubMed] [Google Scholar]
  11. What is it? Case 4, 1986. Mov Disord. 1986;1(4):299–308. doi: 10.1002/mds.870010411. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES