Ghika et al described the "jerky dystonic unsteady hand" syndrome associated with infarction affecting the posterior thalamus.

Location: posterior thalamus, including the pulvinar nucleus


Vascular territory: posterior choroidal artery


Onset: delayed


Clinical findings:

(1) ataxia

(2) tremor

(2a) rubral tremor (myoclonic ataxia with resting, action and wing-beating tremor)

(3) dystonia

(4) myoclonus

(5) chorea or choreoathetosis

(6) sensory dysfunction

(7) pain, including Dejerine-Roussy syndrome

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