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Persistent tongue protrusion dystonia after cerebral infarction
  1. Rana Alnasser Alsukhni1,
  2. Hamsaraj Shetty1,
  3. Tom A T Hughes2
  1. 1Department of Stroke Medicine, University Hospital of Wales, Cardiff, Cardiff, UK
  2. 2Neurology, University Hospital of Wales, Cardiff, Cardiff, UK
  1. Correspondence to Dr Hamsaraj Shetty, Department of Stroke Medicine, University Hospital of Wales, Cardiff, Cardiff, UK; hamsaraj.shetty{at}

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A 72-year-old woman was hospitalised following a sudden loss of consciousness. She had hypertension and atherosclerotic vascular disease, causing bilateral internal carotid artery stenosis. She was drowsy, mute and tetraparetic. A CT scan of the head showed left occipitotemporal, cerebral peduncle and bilateral thalamic infarctions . During the admission, she developed eyelid closure dystonia, persistent tongue protrusion with dyskinetic movements of the …

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  • Contributors RAA: conception of the case report, acquisition and analysis of data, and drafting of the manuscript. HS and TATH: critical revision of the manuscript for important intellectual content.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally reviewed by Oliver Bandmann, Sheffield, UK and Neil Anderson, Auckland, New Zealand.