Can a stroke present with flexor spasms? A highly rare experience.

Involuntary movement disorders are not a common presentation of basal ganglia ischemia which may be induced by cerebral hemodynamic insufficiency. In secondary causes of movements disorders cerebrovascular diseases represent up to 22% and involuntary movements develop after 1-4% of strokes. We describe a case of a middle-aged woman who presented with intermittent involuntary tonic spasms or seizure-like episodes followed by weakness due to contralateral putaminal infarction.

Can atherosclerosis be one of the causes of anterior spinal artery thrombosis?

A middle aged diabetic, hypertensive, dyslipidemic, heavy alcohol consumer man came with sudden onset upper back pain and quadriparesis. Examination showed upper motor type quadriparesis with sensation of pain loss up to level of C7 and totally spared proprioception. MRI spine showed features suggestive of anterior spinal artery stroke.