A Case of Dystonic Tremor with Left Hemiparesis in Cervicomedullary Infarction

ABSTRACT

The development of involuntary movement by the lesion in the brainstem and spinal cord has been rarely reported. We report a 56-year-old man who suffered from bilateral dystonic tremor and left hemiparesis by an acute cervicomedullary infarction. The patient had acute infarcted lesion on the anterior-medial cervicomedullary junction located at the inferior olivary nucleus. Current study suggests that the involvement of inferior olivary nucleus in lower medulla could be a cause to develop dystonic tremor by cervicomedullary lesions.