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Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction
It is widely believed that hemiballismus and chorea are suggestive of a basal ganglia subthalamic nucleus lesion; however, this not a rule. We report the case of a 63-year-old male with complaints of slurred speech, increased movement of the left half of his body, and headache. He had diabetes, hype...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636701/ https://www.ncbi.nlm.nih.gov/pubmed/31333912 http://dx.doi.org/10.7759/cureus.4675 |
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author | Patel, Avani R Patel, Amar R Desai, Soaham |
author_facet | Patel, Avani R Patel, Amar R Desai, Soaham |
author_sort | Patel, Avani R |
collection | PubMed |
description | It is widely believed that hemiballismus and chorea are suggestive of a basal ganglia subthalamic nucleus lesion; however, this not a rule. We report the case of a 63-year-old male with complaints of slurred speech, increased movement of the left half of his body, and headache. He had diabetes, hypertension, and a past medical history of stroke with residual weakness over the right side of his body. The patient developed the sudden onset of irregular, large amplitude, increased involuntary movements of his left upper and lower limbs with a flinging pattern. His blood sugar and serum osmolality were normal. His magnetic resonance imaging (MRI) showed an acute right parietal lobe infarction. Patients can experience hemiballismus with lesions other than the subthalamic nucleus in the basal ganglia. This is contrary to the classic belief that hemiballismus is associated with, and only with, lesions in the subthalamic nucleus. This manuscript describes a case of hemiballismus occurring in a patient secondary to a parietal lobe infarction. |
format | Online Article Text |
id | pubmed-6636701 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-66367012019-07-22 Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction Patel, Avani R Patel, Amar R Desai, Soaham Cureus Internal Medicine It is widely believed that hemiballismus and chorea are suggestive of a basal ganglia subthalamic nucleus lesion; however, this not a rule. We report the case of a 63-year-old male with complaints of slurred speech, increased movement of the left half of his body, and headache. He had diabetes, hypertension, and a past medical history of stroke with residual weakness over the right side of his body. The patient developed the sudden onset of irregular, large amplitude, increased involuntary movements of his left upper and lower limbs with a flinging pattern. His blood sugar and serum osmolality were normal. His magnetic resonance imaging (MRI) showed an acute right parietal lobe infarction. Patients can experience hemiballismus with lesions other than the subthalamic nucleus in the basal ganglia. This is contrary to the classic belief that hemiballismus is associated with, and only with, lesions in the subthalamic nucleus. This manuscript describes a case of hemiballismus occurring in a patient secondary to a parietal lobe infarction. Cureus 2019-05-16 /pmc/articles/PMC6636701/ /pubmed/31333912 http://dx.doi.org/10.7759/cureus.4675 Text en Copyright © 2019, Patel et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Patel, Avani R Patel, Amar R Desai, Soaham Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction |
title | Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction |
title_full | Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction |
title_fullStr | Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction |
title_full_unstemmed | Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction |
title_short | Acute Hemiballismus as the Presenting Feature of Parietal Lobe Infarction |
title_sort | acute hemiballismus as the presenting feature of parietal lobe infarction |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636701/ https://www.ncbi.nlm.nih.gov/pubmed/31333912 http://dx.doi.org/10.7759/cureus.4675 |
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