Skip to main content
PMC home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1974 Mar;37(3):259–268. doi: 10.1136/jnnp.37.3.259

Extrapyramidal dysfunction with cerebral arteriovenous malformations 1

Joao Lobo-Antunes 1,2,3, Melvin D Yahr 1,2,3,2, Sadek K Hilal 1,2,3
PMCID: PMC494638  PMID: 4829531

Abstract

Arteriovenous malformations have only rarely been implicated as a cause of basal ganglia dysfunction. In four instances where such a lesion was uncovered, abnormal involuntary movements were present. In two, tremor involving the contralateral limbs occurred, while in others the head and neck were involved in dystonic movements and posture. The clinical and angiographic characteristics of these four patients have been assessed and are presented in detail in this report. The possible mechanism by which arteriovenous malformations may disturb the internal circuitry of the basal ganglia and induce symptoms are discussed.

Full text

PDF
259

Images in this article

260Image
on p.260
260Image
on p.260
262Image
on p.262
262Image
on p.262
263Image
on p.263

Selected References

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

  1. ANDERSON F. M., KORBIN M. A. Arteriovenous anomalies of the brain; a review and presentation of 37 cases. Neurology. 1958 Feb;8(2):89–101. doi: 10.1212/wnl.8.2.89. [DOI] [PubMed] [Google Scholar]
  2. Avman N., Arasil E. Spasmodic torticollis due to colloid cyst of the third ventricle. Acta Neurochir (Wien) 1969;21(4):265–268. doi: 10.1007/BF01402960. [DOI] [PubMed] [Google Scholar]
  3. CARPENTER M. B. A study of the red nucleus in the rhesus monkey; anatomic degenerations and physiologic effects resulting from localized lesions of the red nucleus. J Comp Neurol. 1956 Sep;105(2):195–249. doi: 10.1002/cne.901050204. [DOI] [PubMed] [Google Scholar]
  4. CARPENTER M. B., WHITTIER J. R., METTLER F. A. Analysis of choreoid hyperkinesia in the Rhesus monkey; surgical and pharmacological analysis of hyperkinesia resulting from lesions in the subthalamic nucleus of Luys. J Comp Neurol. 1950 Jun;92(3):293–331. doi: 10.1002/cne.900920303. [DOI] [PubMed] [Google Scholar]
  5. CARTON C. A., HICKEY W. C. Arteriovenous malformation of the head of the caudate nucleus; report of a case with total removal. J Neurosurg. 1955 Jul;12(4):414–418. doi: 10.3171/jns.1955.12.4.0414. [DOI] [PubMed] [Google Scholar]
  6. Cheek W. R., Taveras J. M. Thalamic tumors. J Neurosurg. 1966 Feb;24(2):505–513. doi: 10.3171/jns.1966.24.2.0505. [DOI] [PubMed] [Google Scholar]
  7. DENNY-BROWN D. The midbrain and motor integration. Proc R Soc Med. 1962 Jul;55:527–538. doi: 10.1177/003591576205500701. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. FOLTZ E. L., KNOPP L. M., WARD A. A., Jr Experimental spasmodic torticollis. J Neurosurg. 1959 Jan;16(1):55–67. doi: 10.3171/jns.1959.16.1.0055. [DOI] [PubMed] [Google Scholar]
  9. KAPLAN H. A., ARONSON S. M., BROWDER E. J. Vascular malformatons of the brain. An anatomical study. J Neurosurg. 1961 Sep;18:630–635. doi: 10.3171/jns.1961.18.5.0630. [DOI] [PubMed] [Google Scholar]
  10. Kelly D. L., Jr, Alexander E., Jr, Davis C. H., Jr, Maynard D. C. Intracranial arteriovenous malformations: clinical review and evaluation of brain scans. J Neurosurg. 1969 Oct;31(4):422–428. doi: 10.3171/jns.1969.31.4.0422. [DOI] [PubMed] [Google Scholar]
  11. LISS H. R., METTLER F. A., STEVENS G. H. Blood supply of the primate Striopallidum. J Neuropathol Exp Neurol. 1956 Oct;15(4):377–383. doi: 10.1097/00005072-195610000-00002. [DOI] [PubMed] [Google Scholar]
  12. Lazorthes G., Salamon G. The arteries of the thalamus: an anatomical and radiological study. J Neurosurg. 1971 Jan;34(1):23–26. doi: 10.3171/jns.1971.34.1.0023. [DOI] [PubMed] [Google Scholar]
  13. MACKENZIE I. The clinical presentation of the cerebral angioma; a review of 50 cases. Brain. 1953 Jun;76(2):184–214. doi: 10.1093/brain/76.2.184. [DOI] [PubMed] [Google Scholar]
  14. MCKISSOCK W., PATERSON J. H. A clinical survey of intracranial angiomas with special reference to their mode of progression and surgical treatment: a report of 110 cases. Brain. 1956 Jun;79(2):233–266. doi: 10.1093/brain/79.2.233. [DOI] [PubMed] [Google Scholar]
  15. METTLER F. A., COOPER I., LISS H., CARPENTER M., NOBACK C. Patterns of vascular failure in the central nervous system. J Neuropathol Exp Neurol. 1954 Oct;13(4):528–539. doi: 10.1097/00005072-195410000-00003. [DOI] [PubMed] [Google Scholar]
  16. McKISSOCK W., PAINE K. W. Primary tumours of the thalamus. Brain. 1958 Mar;81(1):41–63. doi: 10.1093/brain/81.1.41. [DOI] [PubMed] [Google Scholar]
  17. Moody R. A., Poppen J. L. Arteriovenous malformations. J Neurosurg. 1970 May;32(5):503–511. doi: 10.3171/jns.1970.32.5.0503. [DOI] [PubMed] [Google Scholar]
  18. POIRIER L. J., SOURKES T. L. INFLUENCE OF THE SUBSTANTIA NIGRA ON THE CATECHOLAMINE CONTENT OF THE STRIATUM. Brain. 1965 Mar;88:181–192. doi: 10.1093/brain/88.1.181. [DOI] [PubMed] [Google Scholar]
  19. Perret G., Nishioka H. Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section VI. Arteriovenous malformations. An analysis of 545 cases of cranio-cerebral arteriovenous malformations and fistulae reported to the cooperative study. J Neurosurg. 1966 Oct;25(4):467–490. doi: 10.3171/jns.1966.25.4.0467. [DOI] [PubMed] [Google Scholar]
  20. Poirier L. J., Sourkes T. L., Bouvier G., Boucher R., Carabin S. Striatal amines, experimental tremor and the effect of harmaline in the monkey. Brain. 1966 Mar;89(1):37–52. doi: 10.1093/brain/89.1.37. [DOI] [PubMed] [Google Scholar]
  21. RALSTON B. L., PAPATHEODOROU C. A. Vascular malformation of the left thalamus: report of a case of successful treatment, with a note on occulsion of the left internal cerebral vein. J Neurosurg. 1960 May;17:505–510. doi: 10.3171/jns.1960.17.3.0505. [DOI] [PubMed] [Google Scholar]
  22. SILVER M. L. Central pain from cerebral arteriovenous aneurysm. J Neurosurg. 1957 Jan;14(1):92–96. doi: 10.3171/jns.1957.14.1.0092. [DOI] [PubMed] [Google Scholar]
  23. Shaw K. M., Hunter K. R., Stern G. M. Medical treatment of spasmodic torticollis. Lancet. 1972 Jun 24;1(7765):1399–1399. doi: 10.1016/s0140-6736(72)91137-3. [DOI] [PubMed] [Google Scholar]
  24. Svien H. J., McRae J. A. Arteriovenous anomalies of the brain. Fate of patients not having definitive surgery. J Neurosurg. 1965 Jul;23(1):23–28. doi: 10.3171/jns.1965.23.1.0023. [DOI] [PubMed] [Google Scholar]
  25. TONNIS W., SCHIEFER W., WALTER W. Signs and symptoms of supratentorial arteriovenous aneurysms. J Neurosurg. 1958 Sep;15(5):471–480. doi: 10.3171/jns.1958.15.5.0471. [DOI] [PubMed] [Google Scholar]
  26. TOVI D., SCHISANO G., LILJEQVIST B. Primary tumors of the region of the thalamus. J Neurosurg. 1961 Nov;18:730–740. doi: 10.3171/jns.1961.18.6.0730. [DOI] [PubMed] [Google Scholar]
  27. Tarlov E. On the problem of the pathology of spasmodic torticollis in man. J Neurol Neurosurg Psychiatry. 1970 Aug;33(4):457–463. doi: 10.1136/jnnp.33.4.457. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Waltz T. A., Ehni G. The thalamic syndrome and its mechanism. Report of two cases, one due to arteriovenous malformation in the thalamus. J Neurosurg. 1966 Apr;24(4):735–742. doi: 10.3171/jns.1966.24.4.0735. [DOI] [PubMed] [Google Scholar]

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

RESOURCES