Three patients with Tourette syndrome and transient recurrent hemiparetic posturing (pseudohemiparesis) are presented. The transient nature of this posturing is not consistent with a static central nervous system deficit. It is felt that the Tourette syndrome symptomatology and pseudohemiparesis share a common pathophysiology. The inclusion of pseudohemiparesis in the differential diagnosis for cerebral palsy is suggested. (J Child Neurol 1986;1:369-371)
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References
1.
American Psychiatric Association Task Force on Nomenclature: Diagnostic and Statistical Manual of Mental Disorders, ed 3. Washington, DC, American Psychiatric Association, 1980.
2.
Shapiro AK, Shapiro E: Do stimulants provoke, cause or exacerbate tics or Tourette syndrome?Compr Psychiatry1982;22:265-273.
3.
Fahn S.: The clinical spectrum of motor tics, in Friedhoff AJ, Chase TN (eds): Advances in Neurology, Gilles De La Tourette Syndrome. New York, Raven Press, 1982, pp 341-345.
4.
Caine ED: Gilles de La Tourette's syndrome. Arch Neurol1985;42:393-397.
5.
Carpenter MB : Neuroanatomic basis of dyskinesia, in Fields WS (ed): Pathogenesis and Treatment of Parkinsonism. Springfield, Ill, Charles C Thomas, 1978, p 50.
6.
Carpenter MB : Ballism associated with partial destruction of the subthalamic nucleus of luys. Neurology1955;5:479-489.
7.
Johnson WG, Fahn S.: Treatment of vascular hemiballism and hemichorea. Neurology1977;27:634-636.
8.
Krageloh I., Aicardi J.: Alternating hemiplegia in infants: A report of five cases. Dev Med Child Neurol1980;22:784-791.
9.
Verret S., Steele JC: Alternating hemiplegia in childhood: A report of eight patients with complicated migraine beginning in infancy. Pediatrics1971;47:675-680.
10.
Bruyn GW: Complicated migraine, in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology . New York, Elsevier North-Holland Inc, 1968, pp 59-95.
11.
Rapin I.: Children with Brain Dysfunction. Neurology, Cognition Language and Behavior . New York, Raven Press , 1982, p 39.
12.
Steiner I., Agov Z., Gomari JM, et al: Immediate spasticity with acute hemiplegia is a sign of basal ganglia hemorrhage. Acta Neurol Scand1985 ;71:168-170.