Molho E S, Factor S A
Department of Neurology, Albany Medical College, New York 12208.
Mov Disord. 1993 Apr;8(2):213-6. doi: 10.1002/mds.870080219.
Cervical dystonia (CD) is usually an idiopathic disorder that results in abnormal movements and painful postures of the neck. Although symptomatic CD caused by focal CNS lesions has been described in the literature, it is an exceedingly rare phenomenon. We report two women who had an abrupt onset of CD at the ages of 39 and 68 years. Each patient had rotation of the head to the right and was found to have a lacunar infarction in the left putamen on magnetic resonance imaging scan. The abrupt onset of symptoms and appropriate location and laterality of the cerebral lesions suggest an etiologic link between the infarctions and the patients' CD. These cases are the first reports of CD possibly caused by basal ganglia infarction.
颈部肌张力障碍（CD）通常是一种特发性疾病，可导致颈部异常运动和疼痛姿势。尽管文献中描述了由局灶性中枢神经系统病变引起的症状性CD，但这是一种极为罕见的现象。我们报告了两名分别在39岁和68岁时突然发病的CD女性患者。每名患者头部均向右侧旋转，磁共振成像扫描发现左侧壳核有腔隙性梗死。症状的突然发作以及脑部病变的合适位置和侧别提示梗死与患者的CD之间存在病因学联系。这些病例是基底节梗死可能导致CD的首例报告。
