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Unilateral akathisia and choreoathetosis as an unusual presentation of a frontal lobe dermoid cyst

Unilateral akathisia and choreoathetosis as an unusual presentation of a frontal lobe dermoid cyst
Unilateral akathisia and choreoathetosis as an unusual presentation of a frontal lobe dermoid cyst

Objective: To consider an unusual presentation of a frontal lobe dermoid cyst. Intracranial masses very rarely present with movement disorders. We describe a highly unusual presentation of an intracranial dermoid with unilateral choreoathetosis, akathisia and facial tics. Material: A 63-year-old man presented with left-sided akathisia and tardive dyskinesia of his upper limb, attributed to a dermoid cyst in the right frontal lobe. Resection of the cyst led to a complete resolution of his symptoms without neurological deficit. Conclusion: Pathogenic mechanisms of such symptoms may include compression and ischaemia of the basal ganglia and other nigrostriatal structures, as well as dysfunction of the supplementary motor area and mesolimbic dopaminergic pathways.

basal ganglia, Dermoid cyst, extrapyramidal, movement disorder
0268-8697
16-17
Bulleid, Lindsey
db7a92c9-9fa5-4903-ab5c-68b7ce51689d
Wilcox, Christopher
e2c4c36a-e2e5-43a5-9fd6-7198cc15dd53
Hughes, Tom
fdd2b695-3efa-4ae7-9425-e392241fc1b7
Leach, Paul A.
95c6c926-9803-43ec-a279-c4dbe71281d8
Bulleid, Lindsey
db7a92c9-9fa5-4903-ab5c-68b7ce51689d
Wilcox, Christopher
e2c4c36a-e2e5-43a5-9fd6-7198cc15dd53
Hughes, Tom
fdd2b695-3efa-4ae7-9425-e392241fc1b7
Leach, Paul A.
95c6c926-9803-43ec-a279-c4dbe71281d8

Bulleid, Lindsey, Wilcox, Christopher, Hughes, Tom and Leach, Paul A. (2020) Unilateral akathisia and choreoathetosis as an unusual presentation of a frontal lobe dermoid cyst. British Journal of Neurosurgery, 35 (1), 16-17. (doi:10.1080/02688697.2020.1729958).

Record type: Article

Abstract

Objective: To consider an unusual presentation of a frontal lobe dermoid cyst. Intracranial masses very rarely present with movement disorders. We describe a highly unusual presentation of an intracranial dermoid with unilateral choreoathetosis, akathisia and facial tics. Material: A 63-year-old man presented with left-sided akathisia and tardive dyskinesia of his upper limb, attributed to a dermoid cyst in the right frontal lobe. Resection of the cyst led to a complete resolution of his symptoms without neurological deficit. Conclusion: Pathogenic mechanisms of such symptoms may include compression and ischaemia of the basal ganglia and other nigrostriatal structures, as well as dysfunction of the supplementary motor area and mesolimbic dopaminergic pathways.

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More information

Accepted/In Press date: 11 February 2020
e-pub ahead of print date: 25 February 2020
Additional Information: Publisher Copyright: © 2020 The Neurosurgical Foundation. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
Keywords: basal ganglia, Dermoid cyst, extrapyramidal, movement disorder

Identifiers

Local EPrints ID: 450402
URI: http://eprints.soton.ac.uk/id/eprint/450402
ISSN: 0268-8697
PURE UUID: 24aad1e8-9c29-423c-9052-b439797d9355

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Date deposited: 27 Jul 2021 17:23
Last modified: 27 Apr 2022 04:00

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Contributors

Author: Lindsey Bulleid
Author: Tom Hughes
Author: Paul A. Leach

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