Skip to main content
Top
Published in: Journal of Neural Transmission 8/2011

01-08-2011 | Movement Disorders -Short Communication

Extranigral extension of structural midbrain lesions overshadows parkinsonism

Authors: Hee Jin Kim, Ji Young Yun, Jong-Min Kim, Yu Kyeong Kim, Gwanhee Erm, Sang Eun Kim, Beom S. Jeon

Published in: Journal of Neural Transmission | Issue 8/2011

Login to get access

Abstract

We report on a clinicoanatomical analysis of five patients with structural midbrain lesions who shared severe nigrostriatal dopaminergic denervation but presented different involuntary movements. The main clinical phenotype was parkinsonism in only one case; it was choreoballism in three cases and tremor and dystonia in one case. Structural midbrain lesions are likely to involve structures additional to nigral dopaminergic neurons. The extent of extranigral involvement may determine the diverse clinical manifestations associated with the structural midbrain lesions.
Appendix
Available only for authorised users
Literature
go back to reference Abe K, Yanagihara T (1996) Hemiparkinsonism following haemorrhage in the contralateral substantia nigra. Neuroradiology 38:S67–S69PubMedCrossRef Abe K, Yanagihara T (1996) Hemiparkinsonism following haemorrhage in the contralateral substantia nigra. Neuroradiology 38:S67–S69PubMedCrossRef
go back to reference Alarcon F, Zijlmans J, Duenas G et al (2004) Post-stroke movement disorder: report of 56 patients. J Neuro Neurosurg Psychiatry 75:1568–1574CrossRef Alarcon F, Zijlmans J, Duenas G et al (2004) Post-stroke movement disorder: report of 56 patients. J Neuro Neurosurg Psychiatry 75:1568–1574CrossRef
go back to reference Blocq P, Marinesco G (1893) Sur un cas de tremblement parkinsonien hemiplegique symptomatique d’une tumeur du peduncule cerebrale. Comptes Rendus des Séances de la Société de Biologie 5:105–111 Blocq P, Marinesco G (1893) Sur un cas de tremblement parkinsonien hemiplegique symptomatique d’une tumeur du peduncule cerebrale. Comptes Rendus des Séances de la Société de Biologie 5:105–111
go back to reference Boecker H, Weindl A, Leenders K et al (1996) Secondary parkinsonism due to focal substantia nigra lesions: a PET study with [18F] FDG and [18F] fluorodopa. Acta Neurol Scand 93:387–392PubMedCrossRef Boecker H, Weindl A, Leenders K et al (1996) Secondary parkinsonism due to focal substantia nigra lesions: a PET study with [18F] FDG and [18F] fluorodopa. Acta Neurol Scand 93:387–392PubMedCrossRef
go back to reference Chen CC, Lee ST, Wu T et al (2002) Hemiballism after subthalamotomy in patients with Parkinson’s disease: report of 2 cases. Mov Disord 17:1367–1371PubMedCrossRef Chen CC, Lee ST, Wu T et al (2002) Hemiballism after subthalamotomy in patients with Parkinson’s disease: report of 2 cases. Mov Disord 17:1367–1371PubMedCrossRef
go back to reference Goldstein S, Friedman J, Innis R et al (2001) Hemi-parkinsonism due to midbrain arteriovenous malformation: dopamine transporter imaging. Mov Disord 16:350–353PubMedCrossRef Goldstein S, Friedman J, Innis R et al (2001) Hemi-parkinsonism due to midbrain arteriovenous malformation: dopamine transporter imaging. Mov Disord 16:350–353PubMedCrossRef
go back to reference Kim JS, Lee KS, Lee KH et al (2002) Evidence of thalamic disinhibition in patients with hemichorea: semiquantitative analysis using SPECT. J Neurol Neurosurg Psychiatry 72:329–333PubMedCrossRef Kim JS, Lee KS, Lee KH et al (2002) Evidence of thalamic disinhibition in patients with hemichorea: semiquantitative analysis using SPECT. J Neurol Neurosurg Psychiatry 72:329–333PubMedCrossRef
go back to reference Leenders K, Frackowiak R, Quinn N et al (1986) Ipsilateral blepharospasm and contralateral hemidystonia and parkinsonism in a patient with a unilateral rostral brainstem- thalamic lesion: structural and functional abnormalities studied with CT, MRI, and PET scanning. Mov Disord 1:51–58PubMedCrossRef Leenders K, Frackowiak R, Quinn N et al (1986) Ipsilateral blepharospasm and contralateral hemidystonia and parkinsonism in a patient with a unilateral rostral brainstem- thalamic lesion: structural and functional abnormalities studied with CT, MRI, and PET scanning. Mov Disord 1:51–58PubMedCrossRef
go back to reference Merello M, Perez-Lloret S, Antico J et al (2006) Dyskinesias induced by subthalamotomy in Parkinson’s disease are unresponsive to amantadine. J Neurol Neurosurg Psychiatry 77:172–174PubMedCrossRef Merello M, Perez-Lloret S, Antico J et al (2006) Dyskinesias induced by subthalamotomy in Parkinson’s disease are unresponsive to amantadine. J Neurol Neurosurg Psychiatry 77:172–174PubMedCrossRef
go back to reference Peters S, Eising E, Przuntek H et al (2001) Vascular parkinsonism: a case report and review of the literature. J Clin Neurosci 8:268–271PubMedCrossRef Peters S, Eising E, Przuntek H et al (2001) Vascular parkinsonism: a case report and review of the literature. J Clin Neurosci 8:268–271PubMedCrossRef
go back to reference Remy P, Recondo A, Defer G et al (1995) Peduncular ‘rubral’ tremor and dopaminergic denervation: a PET study. Neurology 45:472–477PubMed Remy P, Recondo A, Defer G et al (1995) Peduncular ‘rubral’ tremor and dopaminergic denervation: a PET study. Neurology 45:472–477PubMed
go back to reference Ruzicka E, Urgosik D, Jech R et al (2005) Hemiparkinsonism and levodopa-induced dyskinesia after focal nigral lesion. Mov Disord 20:759–762PubMedCrossRef Ruzicka E, Urgosik D, Jech R et al (2005) Hemiparkinsonism and levodopa-induced dyskinesia after focal nigral lesion. Mov Disord 20:759–762PubMedCrossRef
go back to reference Vidailhet M, Dupel C, Lehericy S et al (1999) Dopaminergic dysfunction in midbrain dystonia. Arch Neurol 56:982–989PubMedCrossRef Vidailhet M, Dupel C, Lehericy S et al (1999) Dopaminergic dysfunction in midbrain dystonia. Arch Neurol 56:982–989PubMedCrossRef
go back to reference Yoshimura M, Yamamoto Y, Iso-o N et al (2002) Hemiparkinsonism associated with a mesencephalic tumor. J Neurol Sci 197:89–92PubMedCrossRef Yoshimura M, Yamamoto Y, Iso-o N et al (2002) Hemiparkinsonism associated with a mesencephalic tumor. J Neurol Sci 197:89–92PubMedCrossRef
Metadata
Title
Extranigral extension of structural midbrain lesions overshadows parkinsonism
Authors
Hee Jin Kim
Ji Young Yun
Jong-Min Kim
Yu Kyeong Kim
Gwanhee Erm
Sang Eun Kim
Beom S. Jeon
Publication date
01-08-2011
Publisher
Springer Vienna
Published in
Journal of Neural Transmission / Issue 8/2011
Print ISSN: 0300-9564
Electronic ISSN: 1435-1463
DOI
https://doi.org/10.1007/s00702-011-0584-y

Other articles of this Issue 8/2011

Journal of Neural Transmission 8/2011 Go to the issue