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Movement Disorders as a Complication of Acute Hemiplegia of Childhood

Movement Disorders as a Complication of Acute Hemiplegia of Childhood Abstract • We evaluate three cases of acute hemiplegia in childhood complicated by tremor and/or choreoathetosis. Each patient experienced the abrupt onset of hemiplegia thought to be localized to an insult involving the middle cerebral distribution without associated seizure, trauma, loss of consciousness or demonstrable cardiac, hematological or neoplastic causes. All three patients recovered most, if not all, strength on the affected side, but each was left with a disorder of movement involving the previously hemiplegic upper extremity. These disorders included resting and intention tremors, as well as choreoathetosis. Anticholinergic drugs failed in treating two patients, but biofeedback techniques were quite successful in one of the two patients so treated. (Am J Dis Child 131:1009-1010, 1977) References 1. Freud S: Die Infantile Cerebrallahmung . Vienna, Holder, 1897. 2. Gowers WR: A Manual of Diseases of the Nervous System . Philadelphia, P Blaikston's Son & Co, 1888, pp 844-845. 3. Osier W: The Cerebral Palsies of Children . Philadelphia, P Blaikston's Son & Co, 1889, pp 43-45. 4. Carter S, Gold AP: Acute infantile hemiplegia . Pediatr Clin North Am 14:851-864, 1967. 5. Bickerstaff E: Aetiology of acute infantile hemiplegia in childhood . Br Med J 2:82-87, 1964.Crossref 6. Bax M, Mitchell R (eds): Acute hemiplegia in childhood in: Little Club Clinics in Developmental Medicine , (No. 6) . London, The Spastics Society and Heinemann Co, 1962. 7. Greer HD, Waltz AG: Acute neurologic disorders of infancy and childhood . Dev Med Child Neurol 7:507-517, 1965.Crossref 8. Solomon G, Hilal S, Gold A, et al: Natural history of acute hemiplegia of childhood . Brain 93:107-120, 1970.Crossref 9. Wisoff H, Rothballer A: Cerebral arterial thrombosis in children . Arch Neurol 4:258-267, 1961.Crossref 10. Scheffner D, Wille L: Acute infantile hemiplegia due to obstruction of intracranial arterial vessels . Neuropadiatrie 4:7-19, 1973.Crossref 11. Prasan N, MuKherji JP, Kaul KK: Tremors in infancy: A review . Indian Pediatr 7:252-256, 1965. 12. Brandt S: The clinical manifestations of lesions to the extra pyramidal system in children . Acta Neurol Scand 39( (suppl 14) ):158-68, 1963.Crossref 13. Heimburger F: The role of the cerebellar nuclei in spasticity . Confin Neurol 32:105-113, 1970.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Movement Disorders as a Complication of Acute Hemiplegia of Childhood

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1977.02120220075013
Publisher site
See Article on Publisher Site

Abstract

Abstract • We evaluate three cases of acute hemiplegia in childhood complicated by tremor and/or choreoathetosis. Each patient experienced the abrupt onset of hemiplegia thought to be localized to an insult involving the middle cerebral distribution without associated seizure, trauma, loss of consciousness or demonstrable cardiac, hematological or neoplastic causes. All three patients recovered most, if not all, strength on the affected side, but each was left with a disorder of movement involving the previously hemiplegic upper extremity. These disorders included resting and intention tremors, as well as choreoathetosis. Anticholinergic drugs failed in treating two patients, but biofeedback techniques were quite successful in one of the two patients so treated. (Am J Dis Child 131:1009-1010, 1977) References 1. Freud S: Die Infantile Cerebrallahmung . Vienna, Holder, 1897. 2. Gowers WR: A Manual of Diseases of the Nervous System . Philadelphia, P Blaikston's Son & Co, 1888, pp 844-845. 3. Osier W: The Cerebral Palsies of Children . Philadelphia, P Blaikston's Son & Co, 1889, pp 43-45. 4. Carter S, Gold AP: Acute infantile hemiplegia . Pediatr Clin North Am 14:851-864, 1967. 5. Bickerstaff E: Aetiology of acute infantile hemiplegia in childhood . Br Med J 2:82-87, 1964.Crossref 6. Bax M, Mitchell R (eds): Acute hemiplegia in childhood in: Little Club Clinics in Developmental Medicine , (No. 6) . London, The Spastics Society and Heinemann Co, 1962. 7. Greer HD, Waltz AG: Acute neurologic disorders of infancy and childhood . Dev Med Child Neurol 7:507-517, 1965.Crossref 8. Solomon G, Hilal S, Gold A, et al: Natural history of acute hemiplegia of childhood . Brain 93:107-120, 1970.Crossref 9. Wisoff H, Rothballer A: Cerebral arterial thrombosis in children . Arch Neurol 4:258-267, 1961.Crossref 10. Scheffner D, Wille L: Acute infantile hemiplegia due to obstruction of intracranial arterial vessels . Neuropadiatrie 4:7-19, 1973.Crossref 11. Prasan N, MuKherji JP, Kaul KK: Tremors in infancy: A review . Indian Pediatr 7:252-256, 1965. 12. Brandt S: The clinical manifestations of lesions to the extra pyramidal system in children . Acta Neurol Scand 39( (suppl 14) ):158-68, 1963.Crossref 13. Heimburger F: The role of the cerebellar nuclei in spasticity . Confin Neurol 32:105-113, 1970.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1977

References