Advertisement

Acta Neurologica Belgica

, Volume 119, Issue 3, pp 483–485 | Cite as

Bilateral stereotypy after unilateral cerebellar infarction

  • Soyoun Choi
  • Chaewon Shin
  • Tae-Beom AhnEmail author
Letter to the Editor

Dear Editor,

Stereotypy is defined as repetitive and continuous non-goal-directed movement. It was reported in association with various disorders including developmental delay, autism, schizophrenia, tardive dyskinesia, and frontotemporal dementia. There were few cases with stereotypy secondary to cerebral infarctions in the putamen or cerebellum [1].

Here, we report a case with bilateral hand stereotypy after left cerebellar infarction.

An 82-year-old man was admitted to the hospital with acute onset dysarthria and gait disturbance. He was hypertensive and had a 60 pack-year smoking history. A neurological examination showed normal cognition (the Mini-Mental State Examination score = 25), dysmetria, and gait ataxia. Brain magnetic resonance imaging (MRI) showed an acute infarction in the left cerebellar hemisphere (Fig. 1a). He was treated with aspirin and clopidogrel, and discharged with only minimal residual symptoms.

Abbreviations

MRI

Magnetic resonance imaging

18F-FDG

18F-fluorodeoxyglucose

18F-FP-CIT

18F-fluorinated N-3-fluoropropyl-2-beta-carboxymethoxy-3-beta-(4-iodophenyl) nortropane

PET

Positron emission tomography

Notes

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interest.

Ethical approval

Ethical approval is waived for this study, because this is a retrospective report of a case.

Informed consent

Informed consent about the use of medical record and video was taken from the patient.

Supplementary material

Supplemental video. The patient continuously rubs his thumbs against the index fingers. The repetitive and patterned movements are temporarily interrupted by other activities. The informed consent for the supplemental video was received from the patient. (WMV 11018 KB)

References

  1. 1.
    Lee D, Lee D, Ahn TB (2014) Stereotypy after cerebellar infarction. J Neurol Sci 344(1–2):227–228.  https://doi.org/10.1016/j.jns.2014.06.019 CrossRefPubMedGoogle Scholar
  2. 2.
    Picazio S, Koch G (2015) Is motor inhibition mediated by cerebello-cortical interactions? Cerebellum (Lond, Engl) 14(1):47–49.  https://doi.org/10.1007/s12311-014-0609-9 CrossRefGoogle Scholar
  3. 3.
    D’Mello AM, Stoodley CJ (2015) Cerebro-cerebellar circuits in autism spectrum disorder. Front Neurosci 9:408.  https://doi.org/10.3389/fnins.2015.00408 CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Olivito G, Dayan M, Battistoni V, Clausi S, Cercignani M, Molinari M, Leggio M, Bozzali M (2017) Bilateral effects of unilateral cerebellar lesions as detected by voxel based morphometry and diffusion imaging. PLoS One 12(7):e0180439.  https://doi.org/10.1371/journal.pone.0180439 CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Kim JS (2001) Asterixis after unilateral stroke: lesion location of 30 patients. Neurology 56(4):533–536CrossRefPubMedGoogle Scholar

Copyright information

© Belgian Neurological Society 2018

Authors and Affiliations

  1. 1.Kyung Hee University College of MedicineSeoulRepublic of Korea
  2. 2.Department of NeurologyKyung Hee University HospitalSeoulRepublic of Korea

Personalised recommendations