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Cervical Dystonia Following Injury to the Cerebellar Pontine Angle: An Instructive Case

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A 38‐year‐old woman presented with cervical dystonia in the context of a recent surgery to remove a vestibular schwannoma. She initially presented to neurology with pain in the right arm,… Click to show full abstract

A 38‐year‐old woman presented with cervical dystonia in the context of a recent surgery to remove a vestibular schwannoma. She initially presented to neurology with pain in the right arm, and MRI of the brain showed an incidental right‐sided vestibular schwannoma (Video 1 , Segment 1). An elective gamma‐knife procedure was performed, which failed. Hydrocephalus requiring ventriculoperitoneal shunt insertion developed, and 3 years following the initial procedure the lesion was surgically excised. Surgery was further complicated by right middle cerebellar peduncle injury, extending to the cerebellopontine angle and marginally to the right pontine tegmentum, with subsequent mass effect on cerebellum displayed on follow‐up MRI (Video 1 , Segment 2).

Keywords: angle; dystonia; dystonia following; cervical dystonia; injury; pontine

Journal Title: Movement Disorders Clinical Practice
Year Published: 2018

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