Paroxysmal left-sided hemidystonia as a relapse of multiple sclerosis

Extrapyramidal disorders are a rare presentation of multiple sclerosis. One such is paroxysmal hemidystonia. Dystonia is, in the strict sense, result damage to various sites central nervous system. In one published cases series, lesions causing dystonia occurred heterogeneous locations, most commonly basal ganglia, followed by thalamus, brainstem, and white matter. series 62 patients with thalamic or peritalamic lesions, only about 5% had dystonia. So far, there have been few reported hemidystonic symptoms associated specific system course sclerosis, especially as relapse. For these reasons, we present case 57-year-old female patient medical history 30 years who developed left-sided hemidystonia relapse