• Neurology · Sep 1990

    Case Reports

    Progressive dystonia following resuscitation from cardiac arrest.

    • K B Boylan, J H Chin, and S J DeArmond.
    • Department of Neurology, School of Medicine, University of California, San Francisco 94143.
    • Neurology. 1990 Sep 1;40(9):1458-61.

    AbstractWe report a case of a 55-year-old man in whom progressive extrapyramidal disease developed nearly 1 year after resuscitation from cardiopulmonary arrest. Parkinsonian features evolved within 3 months, and progressive generalized dystonia developed after 11 months. CT and MRI revealed bilateral basal ganglia infarction. Autopsy after 4 years of illness showed bilateral basal ganglia necrosis with preserved corticospinal tracts. These findings support earlier suggestions that postinfarction dystonia is mediated by a pyramidal system lacking normal striatal control.

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