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Spasmodic torticollis due to a midbrain lesion in a case of multiple sclerosis†
Article first published online: 12 OCT 2004
Copyright © 1989 Movement Disorder Society
Volume 4, Issue 4, pages 359–362, 1989
How to Cite
Plant, G. T., Kermode, A. G., du Boulay, E. P. G. H. and McDonald, W. I. (1989), Spasmodic torticollis due to a midbrain lesion in a case of multiple sclerosis. Mov. Disord., 4: 359–362. doi: 10.1002/mds.870040413
- Issue published online: 12 OCT 2004
- Article first published online: 12 OCT 2004
- Spasmodic torticollis;
- Multiple sclerosis;
- Magnetic resonance imaging
A case of multiple sclerosis is described in which spasmodic torticollis occurred abruplty and abated after 1 year. Magnetic resonance imaging (MRI) demonstrated a lesion in the mesencephalon. Other symptoms and physical signs that developed at the same time as the spasmodic torticollis were compatible with the lesion that had not been present on MRI 18 months previously. There are very few reports of spasmodic torticollis due to an identified focal lesion; there is evidence form experimental work on animals that midbrain lesions may cause spasmodic torticollis but there has been no previous human example.