Hemiballismus–hemichorea in older diabetic women: A clinical syndrome with MRI correlation

Lee, Byung‐Chul; Hwang, Sung‐Hee; Chang, Gregory Youngnam

doi:10.1212/wnl.52.3.646

Cited by 81 publications

(74 citation statements)

References 4 publications

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“…Os autores especulam sobre a hipersensibilidade à dopamina em mulheres no período pós-menopausa, conforme já descrito no estudo de Lin e Chang 7 . Os autores enfatizam ainda a correta definição desta síndrome em face das aplicações terapêuticas, pois a correção da hiperglicemia, com a utilização temporária de haloperidol e/ou diazepam, levarão a rápida melhora do quadro de hemibalismo-hemicoréia 11 .…”

Section: Discussionunclassified

Hemibalismo: relato de oito casos

Coral¹,

Teive

Werneck

2000

Arq. Neuro-Psiquiatr.

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granuloma fúngico (criptococo) subtalâmico associado a SIDA. Entre os pacientes com diabetes mellitus, três apresentavam hiperglicemia não cetótica, dois dos quais com hemorragias nos gânglios da base, e três acidente vascular encefálico isquêmico. Em 75% dos casos ocorria também hemicoréia, com acometimento predominante do dimídio direito. Do total de pacientes seis apresentaram boa resposta clínica ao tratamento farmacológico com neurolépticos. Dois pacientes foram submetidos a talamotomia estereotáxica, um dos quais apresentou remissão completa do hemibalismo. Em nossa série de oito pacientes com hemibalismo houve predominância da associação com diabetes mellitus e acidente vascular encefálico, e boa evolução clínica.PALAVRAS-CHAVE: hemibalismo, diabetes mellitus, acidente vascular encefálico. Hemiballism: report of eight casesABSTRACT -We report eight cases of hemiballism. Six patients had diabetes mellitus, one patient presented with porencephaly after cranial trauma and one patient had a HIV-associated fungic granuloma (cryptococcus). In the diabetic group three patients had non-ketotic hyperglycemia; two of them with striatal hemorrhage, and the remaining three presented with an ischemic stroke. Hemichorea occurred in 75% of our patients, predominantly in the right side of the body. Six patients had good improvement with treatment with haloperidol and two patients had to undergo a thalamotomy, one of them with good results. In our series of eight patients with hemiballismus we observed an association with diabetes mellitus and stroke, and good clinical improvement.

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Section: Discussionunclassified

Hemibalismo: relato de oito casos

Coral¹,

Teive

Werneck

2000

Arq. Neuro-Psiquiatr.

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“…Anterior parietal arter inmesi sonrası; santral ağrı ile birlikte eş zamanlı hemiballismus tarif edilmiştir (18). Manyetik Rezonans Görüntüleme (MRG) çalışmalarında; kontralateral striatumun yüksek sinyal intensitesi gösterdiği, ketotik olmayan hiperglisemi hastalarında da hemiballismus ve hemikore tarif edilmiştir (19). Hemiballismusa sıklıkla subtalamusun hemorajik veya iskemik lezyonları yol açar (20).…”

Section: Hemiballismus;unclassified

Hemiballismus That Develops upon Thalamic Hemorrhage: A Case Report

Alagöz¹,

Köksal²,

Acar³

et al. 2016

Türk Beyin Damar Hast Derg

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veya baş hareketleridir. Ballismus kavramı ise yüksek amplitüdlü, şiddetli, savurma ya da atma şeklindeki hareketleri tanımlar. Hemikore-hemiballismus akut inme geçiren hastalarda en sık bildirilen hareket bozukluklarıdır. Kontralateral subtalamik nükleusun etkilenmesine bağlı olarak ortaya çıktığı düşünülse de, ilerleyen yıllarda bazal ganglionların, afferent ve efferent subtalamopalidal yollarını kesen değişik lezyonlarında da koreik ve ballistik hareketlerin olduğu bildirilmiştir. Bu makalede 63 yaşında kadın hastada; talamik hemoraji sonrası gelişen hemiballismus olgusu sunulmuştur. Anahtar Sözcükler: Hemiballismus, talamik hemoraji, inme, nöroleptik. HEMIBALLISMUS THAT DEVELOPS UPON THALAMIC HEMORRHAGE: A CASE REPORT ABSTRACTHemichorea is characterized by sudden, spasmodic, irregular, short-term finger, hand, arm, face, tongue or head movements including one half of body. Ballismus concept defines the high-amplitude, violent, centrifugal or throwing motions. Hemichorea-hemiballismus are the most frequently reported movement disorders in patients with acute stroke. Even if it is believed to occur depending on the effect on contralateral subthalamic nucleus; it has been reported that in the following years there have been choreic and ballistic movements in various lesions intersecting the afferent and efferent subtalamopalidal paths of basal ganglion. In this article; hemiballismus, which has developed after thalamic hemorrhage, of an 63 year old female patient is presented.

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“…In two of them, the hyperkinesia was the initial presenting symptom of diabetes. Soon after this description, Lee et al 52 reported on eight female diabetic patients with HB-HC, further characterizing the clinical syndrome with magnetic resonance imaging (MRI) correlation (contralateral high signal intensity putaminal lesion without edema or swelling on T1-weighted MRI). Finally, Mestre et al 53 presented the pathological correlate of the imaging findings, defining that putaminal petechial haemorrhages in a fatal case of nonketotic hyperglycemia chorea.…”

Section: Acute Chorea and Hemiballismhemichoreamentioning

confidence: 99%

“…Mild chorea often does not require treatment; however, when the hyperkinetic movements are of sufficient severity to cause functional disability and exhaustion, several different approaches have been advocated 47,[50][51][52][53][54] . A combination of a benzodiazepine with either haloperidol, olanzapine or tetrabenazine, titrated over days to maintain a balance between control of the movement disorder and side effects, such as sedation, can be effective 47,50,51 .…”

Section: Acute Chorea and Hemiballismhemichoreamentioning

confidence: 99%

Movement disorders emergencies: a review

Munhoz

Moscovich

Araujo

et al. 2012

Arq. Neuro-Psiquiatr.

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Movement disorders (MD) encompass acute and chronic diseases characterized by involuntary movements and/or loss of control or efficiency in voluntary movements. In this review, we covered situations in which the main manifestations are MDs that pose significant risks for acute morbidity and mortality. The authors examine literature data on the most relevant MD emergencies, including those related to Parkinson's disease, acute drug reactions (acute dystonia, neuroleptic malignant syndrome, serotonergic syndrome and malignant hyperthermia), acute exacerbation of chronic MD (status dystonicus), hemiballism and stiff-person syndrome, highlighting clinical presentation, demographics, diagnosis and management.

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Hemiballismus–hemichorea in older diabetic women: A clinical syndrome with MRI correlation

Cited by 81 publications

References 4 publications

Hemibalismo: relato de oito casos

Hemibalismo: relato de oito casos

Hemiballismus That Develops upon Thalamic Hemorrhage: A Case Report

Movement disorders emergencies: a review

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