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Involuntary Tonic Spasms of a Limb Due to a Brain Stem Lacunar Infarction Stroke 25:217-219, Kaufman,D.K.,et al, 1994 See this aricle in Pubmed Article Abstract Involuntary tonic spasms of a paretic limb developed acutely in a 69-year- old hypertensive man with a clinical presentation of pure motor hemiparesis.Magnetic resonance imaging demonstrated a lacunar infarct of the ventral pons.There was no evidence for carotid occlusive disease.An electroencephalogram recorded during the movements showed no abnormality. The abnormal movements responded well to treatment with oral diazepam.A brain stem lacunar infarction may be associated with involuntary tonic limb spasms clinically similar to those reported as paroxysmal symptoms of multiple sclerosis.

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