Journal of Parkinson's Disease and Movement Disorders

Murat Gültekin1, Recep Baydemir1, Mehmet Fatih Göl1, Saliha Demirel Özsoy2, Meral Mirza1

1Erciyes Üniversitesi Tıp Fakültesi Nöroloji Anabilim Dalı, Kayseri, Türkiye
2Erciyes Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı, Kayseri, Türkiye

Keywords: Cerebral hypoxia; chorea; dystonia.


A great number of movement disorders, including parkinsonism, dystonia, chorea, tics, tremor, athetosis, and myoclonic syndromes, have been described after hypoxic-ischemic conditions. In this article, we present a 24-year-old female patient who developed cerebral hypoxia after an attempt of strangulation by an assailant in her house in Afghanistan. On third day of hospitalization, acute dystonia and chorea were observed on patient’s arm and cervical area. Adjustment disorder and depression were detected at psychiatric examination. Patient
was brought to Turkey after the acute term at hospital. T2-hyperintense signal increase was observed in bilateral basal ganglia (putamen and caudate nucleus) on cranial magnetic resonance imaging. Anticholinergic and antidepressant treatment was initiated.