Hemichorea: A Rare Neurological Deficit in the Emergency Department

Bektaş, Fırat; Söyüncü, Seçgin

doi:10.1016/j.jemermed.2010.05.094

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Choreal movements are an uncommon finding in emergency context. Such a disorder can be associated with different conditions, including infective, autoimmune or central nervous diseases, oestrogen or levodopa replacement therapies, polycythemia rubra and chorea gravidarum [1,2]. Choreas associated with these diseases have consistently a slow onset.…”

Section: Discussionmentioning

confidence: 99%

Hemichorea–hemiballism syndrome following a thrombo-embolic striatal infarction

et al. 2012

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A 70-year-old man was admitted to our emergency department for sudden onset of abnormal involuntary movements involving his upper and lower left limbs. Hemichoreal movements were restricted to his left limbs, associated with rare episodes of hemiballism (video). There were no cranial nerve alterations, no sensory loss or limb weakness. The patient reported mild hypertension under treatment. There was no history of diabetes mellitus or epilepsy, no prior exposure to neuroleptics or recent change in therapy. He denied any similar previous episode or family history of movement disorders.Chest radiography, electrocardiography, and laboratory tests including glucose, glycated hemoglobin, coagulation parameters, and immunoglobulin electrophoresis were normal. Brain non-contrast CT scan on admission showed no signs of acute ischemia (Fig. 1a). A supra-aortic-trunk Doppler sonography revealed an irregular surface plaque, partly ulcerated, on the origin of the right internal carotid artery with stenosis of about 90 %, confirmed at CT angiography (Fig. 1b).

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Section: Discussionmentioning

confidence: 99%

Hemichorea–hemiballism syndrome following a thrombo-embolic striatal infarction

et al. 2012

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“…MRG'de saptanan sağ talamik infarktla birlikte hemikorenin talamik enfarkta bağlı olduğu düşünüldü. Literatürde acil başvuru sebebi olarak hiperkinetik hareket bozukluklarının olduğu vakalar bildirilmiştir 12 . İlk olgumuzda hemikore, acil servise başvurmasına sebep olan tek semptomdu.…”

Section: Olguunclassified

İskemik inme sonrası gelişen hemikore

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et al. 2016

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

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AbstractÖz The deterioration of the balance between direct and indirect ways in the basal ganglia causes chorea. The lesions of contralateral basal ganglia, thalamus or the connection of them all together are responsible for this. Chorea can be observed during the course of metabolic and vascular diseases, neurodegenerative or hereditary diseases. Hyperkinetic movement disorders after acute ischemic stroke are reported as rare; however, hemichorea is the most frequent developing disorder of hyperkinetic movement as a result of cerebrovascular disease. In this case report, we presented two case who applied us with choreiform movements in his left half of the body after acute thalamic stroke.Koreye bazal ganlionlardaki direkt ve indirekt yollar arasındaki dengenin bozulması sebep olmaktadır. Kontralateral bazal ganglionlar, talamus veya bunların birlikte olduğu lezyonların sorumlu tutulduğu kore, metabolik ve vasküler hastalıklar ile nörodejeneratif ya da herediter hastalıkların seyrinde gözlenebilir. Hiperkinetik hareket bozuklukları akut inme sonrası nadir olarak bildirilmekle birlikte serebrovasküler hastalık sonucu en sık gelişen hiperkinetik hareket bozuklukluğu hemikoredir. Bu olgu sunumunda talamik iskemik inme sonrası sol vücut yarısında koreiform hareketlerle başvuran iki olgu paylaşılmıştır.

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