Torcicolo espasmódico e meningeoma frontal

Tonholo-Silva, Edward R.; Quagliato, Elizabeth M. A. Barasnevícius

doi:10.1590/S0004-282X1991000100016

Resumos

Foi estudada o caso de um paciente de 57 anos com meningeoma frontal esquerdo, cuja única manifestação clínica foi torcicolo espasmódico contralateral. Há poucos casos relatados na literatura de lesões frontais levando a movimentos involuntários, sendo analisada a possibilidade de uma desconexão funcional entrei o córtex frontal e o complexo estriato-lentículo-talâmico.

A 57 year-old man developed a spasmodic torticollis with involuntary deviation of the head to the right-side. He had a left paramedian frontal meningioma. The association of spasmodic torticollis and other movement disorders has been reported with contralateral lesions in the basal ganglia. Its occurrence in association to a frontal lesion appears to be much less frequent suggesting a possible disorder of frontostriatal connections.

CONTENTS CONTEÚDO

Edward R. Tonholo-Silva^I; Elizabeth M. A. Barasnevícius Quagliato^II

^IMédico Residente em Neurologia Clínica - Departamento de Neurologia da Faculdade de Ciências Médicas/UNICAMP

^IIProfessor Assistente Doutor - Departamento de Neurologia da Faculdade de Ciências Médicas/UNICAMP

RESUMO

Foi estudada o caso de um paciente de 57 anos com meningeoma frontal esquerdo, cuja única manifestação clínica foi torcicolo espasmódico contralateral. Há poucos casos relatados na literatura de lesões frontais levando a movimentos involuntários, sendo analisada a possibilidade de uma desconexão funcional entrei o córtex frontal e o complexo estriato-lentículo-talâmico.

SUMMARY

A 57 year-old man developed a spasmodic torticollis with involuntary deviation of the head to the right-side. He had a left paramedian frontal meningioma. The association of spasmodic torticollis and other movement disorders has been reported with contralateral lesions in the basal ganglia. Its occurrence in association to a frontal lesion appears to be much less frequent suggesting a possible disorder of frontostriatal connections.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Agradecimentos - Agradecemos aos colegas Drs. Alberto Luiz Cunha da Costa e Marcelo Annes, pela ajuda nas avaliações clínicas do paciente durante a internação.

Dr. Edward R. Tonholo-Silva - Rua Julio Mesquita 295 - 17500 Marília SP - Brasil.

Referências bibliográficas

1. Avman N, Arasil E. Spasmodic torticollis due to colloid cyst of the third ventricle. Acta Neurochir 1969, 21:266.
2. Bronstein AM, Rudge P. Vestibular involvement in spasmodic torticollis. J Neurol Neu-rosurg Psychiat 1986, 49:290.
3. Cleveland SE, Personality dynamics in torticollis. J Nerv Ment Dis 1961, 129:150.
4. DPavid M, Hécaen H, Constans J. Torticollis spasmodique consécutif à une lesion corticale traumatique: discussion du resultat favorable obtenu après excision de la lésion corticale. Rev Neurol (Paris) 1952, 86:57.
5. Dick P. Spasmodic torticollis and neurovascular compression. J Neurosurg 1986, 64:686.
6. Dubousset J. Torticollis in children caused by congenital anomalies of the atlas. J Bone Joint Surg 1986, 68A:178.
7. Foltz EL, Knopp LM, Ward AA. Experimental spasmodic torticollis. J Neurosurg 1959, 16:55.
8. Hadari A, Azizi E, Lernau O, Nissan S. Sandifer's syndrome: a rare complication of hiatal hernia. A case report. Z Kinderchir 1984, 39:202.
9. Herz E, Glaser GH. Spasmodic torticollis: II. Clinical evaluation. Arch Neurol Psychiat 1949, 61:227.
10. Kaste M, Ilvanainen M, Juntunen J, Setala A. Brain involvement in spasmodic torticollis. Acta Neurol Scand 1981, 63:373.
11. Kiwak KJ, Deray MJ, Shields WD. Torticollis in three children with syringomielia and spinal cord tumor. Neurology 1983, 33:946.
12. Marsden CD. Dystonia: the spectrum of the disease. Res Publ Ass Res Nerv Ment Dis 1976, 55:351.
13. Marsden CD, Obeso JA, Zarranz JJ, Lang AE. The anatomical basis of symptomatic hemidystonia. Brain 1985, 108:463.
14. Matthews WB, Beasley P, Parry-Jones E, Garland G. Spasmodic torticollis: a combined clinical study. J Neurol Neurosurg Psychiat 1978, 41:485.
15. McGeer EG, McGeer PL. The dystonias. Can J Neurol Sci 1988, 15:447.
16. Meyrignac C, Kéravel Y, Boulu F, Nguyen JP, Degos JD. Crampe des écrivains et méningeoma frontal gauche. Rev Neurol (Paris) 1988, 144:378.
17. Pettigrew LC, Jankovic J. Hemidystonia: a report of 22 patients and a review of the literature. J Neurol Neurosurg Psychiat 1985, 48:650.
18. Podivinsky F. Torticollis. In Vinken PJ, Bruyn GW (eds) : Handbook of Clinical Neurology. Amsterdam: North-Holland, 1968, Vol 6, p 567.
19. Sarnat HB, Morrissy RT. Idiopatic torticollis: sternocleidomastoid myopathy and accessory neuropathy. Muscle & Nerve 1981, 4:374.
20. Shima F, Fukui M, Matsubara T, Kitamura K. Spasmodic torticollis caused by vascular compression of the spinal accessory root. Surg Neurol 1986, 26:431.
21. Tarlov E. On the problem of the pathology of spasmodic torticollis in man. J Neurol Neurosurg Psychiat 1970, 33:457.
22. van Hoof JJM, Horstink MWI, Berger HJC, van Spaendonck KPM, Cools AR. Spasmodic torticollis: the problem of pathophysiology and assessment. J Neurol 1987, 234:322.
23. Zeman W, Dyken P. Dystonia musculorum deformans. In Vinken PJ, Bruyn GW (eds) : Handbook of Clinical Neurology. Amsterdam: North-Holland, 1968, Vol 6, p 529.

Torcicolo espasmódico e meningeoma frontal

Spasmodic torticollis and frontal meningioma.

Datas de Publicação

Publicação nesta coleção
22 Fev 2011
Data do Fascículo
Mar 1991

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. Avman N, Arasil E. Spasmodic torticollis due to colloid cyst of the third ventricle. Acta Neurochir 1969, 21:266.

[2] 2. Bronstein AM, Rudge P. Vestibular involvement in spasmodic torticollis. J Neurol Neu-rosurg Psychiat 1986, 49:290.

[3] 3. Cleveland SE, Personality dynamics in torticollis. J Nerv Ment Dis 1961, 129:150.

[4] 4. DPavid M, Hécaen H, Constans J. Torticollis spasmodique consécutif à une lesion corticale traumatique: discussion du resultat favorable obtenu après excision de la lésion corticale. Rev Neurol (Paris) 1952, 86:57.

[5] 5. Dick P. Spasmodic torticollis and neurovascular compression. J Neurosurg 1986, 64:686.

[6] 6. Dubousset J. Torticollis in children caused by congenital anomalies of the atlas. J Bone Joint Surg 1986, 68A:178.

[7] 7. Foltz EL, Knopp LM, Ward AA. Experimental spasmodic torticollis. J Neurosurg 1959, 16:55.

[8] 8. Hadari A, Azizi E, Lernau O, Nissan S. Sandifer's syndrome: a rare complication of hiatal hernia. A case report. Z Kinderchir 1984, 39:202.

[9] 9. Herz E, Glaser GH. Spasmodic torticollis: II. Clinical evaluation. Arch Neurol Psychiat 1949, 61:227.

[10] 10. Kaste M, Ilvanainen M, Juntunen J, Setala A. Brain involvement in spasmodic torticollis. Acta Neurol Scand 1981, 63:373.

[11] 11. Kiwak KJ, Deray MJ, Shields WD. Torticollis in three children with syringomielia and spinal cord tumor. Neurology 1983, 33:946.

[12] 12. Marsden CD. Dystonia: the spectrum of the disease. Res Publ Ass Res Nerv Ment Dis 1976, 55:351.

[13] 13. Marsden CD, Obeso JA, Zarranz JJ, Lang AE. The anatomical basis of symptomatic hemidystonia. Brain 1985, 108:463.

[14] 14. Matthews WB, Beasley P, Parry-Jones E, Garland G. Spasmodic torticollis: a combined clinical study. J Neurol Neurosurg Psychiat 1978, 41:485.

[15] 15. McGeer EG, McGeer PL. The dystonias. Can J Neurol Sci 1988, 15:447.

[16] 16. Meyrignac C, Kéravel Y, Boulu F, Nguyen JP, Degos JD. Crampe des écrivains et méningeoma frontal gauche. Rev Neurol (Paris) 1988, 144:378.

[17] 17. Pettigrew LC, Jankovic J. Hemidystonia: a report of 22 patients and a review of the literature. J Neurol Neurosurg Psychiat 1985, 48:650.

[18] 18. Podivinsky F. Torticollis. In Vinken PJ, Bruyn GW (eds) : Handbook of Clinical Neurology. Amsterdam: North-Holland, 1968, Vol 6, p 567.

[19] 19. Sarnat HB, Morrissy RT. Idiopatic torticollis: sternocleidomastoid myopathy and accessory neuropathy. Muscle & Nerve 1981, 4:374.

[20] 20. Shima F, Fukui M, Matsubara T, Kitamura K. Spasmodic torticollis caused by vascular compression of the spinal accessory root. Surg Neurol 1986, 26:431.

[21] 21. Tarlov E. On the problem of the pathology of spasmodic torticollis in man. J Neurol Neurosurg Psychiat 1970, 33:457.

[22] 22. van Hoof JJM, Horstink MWI, Berger HJC, van Spaendonck KPM, Cools AR. Spasmodic torticollis: the problem of pathophysiology and assessment. J Neurol 1987, 234:322.

[23] 23. Zeman W, Dyken P. Dystonia musculorum deformans. In Vinken PJ, Bruyn GW (eds) : Handbook of Clinical Neurology. Amsterdam: North-Holland, 1968, Vol 6, p 529.