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Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity? Cover

Arm Posturing in a Patient Following Stroke: Dystonia, Levitation, Synkinesis, or Spasticity?

Open Access
|Dec 2015

Abstract

Background: Post-stroke movement disorders occur in up to 4% of stroke patients. The movements can be complex and difficult to classify, which presents challenges when attempting to understand the clinical phenomenology and provide appropriate treatment.

Case Report: We present a 64-year-old male with an unusual movement in the arm contralateral to his ischemic stroke. The primary feature of the movement was an involuntary elevation of the arm, occurring only when he was walking.

Discussion: The differential diagnosis includes dystonia, spontaneous arm levitation, synkinesis, and spasticity.We discuss each of these diagnostic possibilities in detail.

DOI: https://doi.org/10.5334/tohm.260 | Journal eISSN: 2160-8288
Language: English
Submitted on: Sep 24, 2015
Accepted on: Nov 3, 2015
Published on: Dec 11, 2015
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2015 Krithi Irmady, Bahman Jabbari, Elan D. Louis, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.