Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Patel, Avani R, Patel, Amar R, Desai, Soaham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
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
_version_ 1783436107415814144
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
work_keys_str_mv AT patelavanir acutehemiballismusasthepresentingfeatureofparietallobeinfarction
AT patelamarr acutehemiballismusasthepresentingfeatureofparietallobeinfarction
AT desaisoaham acutehemiballismusasthepresentingfeatureofparietallobeinfarction