Rehabilitation of hemidystonia as a result of right pontine hemorrhagic stroke

Abstract

Dystonia is a movement disorder characterized by involuntary, repetitive writhing movements. Historically, dystonia is a disorder of the basal ganglia. However, recent studies have reported cases of dystonia associated with brainstem disorders. Although many theories have been proposed, the pathologic mechanism of the disorder is uncertain. Furthermore, few effective treatment options have been proposed. This case study reports a case of hemidystonia resulting from acute pontine hemorrhagic stroke successfully treated with pharmacotherapy and intensive inpatient rehabilitation. The patient presented to our inpatient rehabilitation facility, where baclofen was administered with intensive rehabilitation. On discharge, his functionality improved to mostly independent with activities of daily living.