• Internal medicine · Mar 2023

    Dystonia-like Movement Disorders Ameliorated by Shear Force and Pressure Stimulation - A Case Report of Small Infarction in the Left Posterolateral Thalamus.

    • Youki Teraoka, Keisuke Hanada, Shinya Iki, Takuya Kawaguchi, Kayoko Yokoi, Hiromi Fujii, Kaori Inoue, and Kazumi Hirayama.
    • Department of Occupational Therapy, Kawaguchi Neurosurgery Rehabilitation Clinic, Japan.
    • Intern. Med. 2023 Mar 15; 62 (6): 893902893-902.

    AbstractFocal dystonia (FD) can develop after thalamic lesions. Abnormal somatic sensations were argued to be responsible for FD. Our patient experienced FD-like movement disorders, agraphesthesia, and a reduced sense of shear force on the skin and pressure to deep tissues of the right upper limb following a small infarction in the left posterolateral thalamus. FD-like symptoms improved while the skin was being pulled or the deep tissue was being pushed in a manner proportional to the strength of muscle contractions. Therefore, the lack of these sensations was suggested to be related to FD-like symptoms.

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