Assistent Professor University of Minnesota Minneapolis, Minnesota
Case Diagnosis: Binswanger's disease
Case Description or Program Description: Case report: We report a 68 year old lady with Binswanger's disease presented with cervical dystonia accompanied with head tremor. She failed medical management. She was evaluated by Physiatry and with a combination of chemodenervation and physical therapy her cervical dystonia were optimally managed. She was able to resume her function independently.
Setting: Ambulatory outpatient setting
Assessment/Results: he was evaluated by Physiatry and with a combination of chemodenervation and physical therapy her cervical dystonia were optimally managed. She was able to resume her function independently.
Discussion (relevance):
Discussion: Binswanger disease is a progressive neurological disorder caused by arteriosclerosis and thromboembolism affecting the blood vessels that supply the white-matter and deep structures of the brain (basal ganglia and thalamus). Most patients experience progressive loss of memory and intellectual abilities (dementia), urinary urgency or incontinence, and an abnormally slow, shuffling, unsteady pattern of walking. Movement disorders can accompany Binswanger's disease and can be optimized with therapy and chemodenervation. Deep Brain Stimulation can be considered if the above measures fail.
Conclusions:
Conclusion: Binswanger's disease can be associated with cervical dystonia. Physiatrist are well versed with various management plans and can contour the treatment according to patient’s needs to optimize quality of life.
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