MRI appearance of a cerebral cavernous malformation in the caudate nucleus before and after chorea onset

Kobayashi, Kazuhiko; Aoyama, Naoki; Sasaki, Jun; Oshima, Hideki; Fukaya, Chikashi; Yamamoto, Takamitsu; Katayama, Yoichi

doi:10.1016/j.jocn.2010.08.034

Cited by 9 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As a result, thalamo-cortical activity increases, creating the main mechanism thought to underlie hyperkinetic disorders. In our case, we thought that the lesion's adjacent localization to the subthalamic nucleus caused damage to the associated indirect pathway, in turn causing chorea symptoms (8,9).…”

Section: Discussionmentioning

confidence: 77%

“…Movement disorders due to cavernomas are quite rare (12). Among these are cases of hemichorea localized in the caudate nucleus (4,5,6,7,8), a case of chorea resulting from a cavernoma localized in the putamen (3), cases of cavernoma causing dystonia (13,14,15,16,17) and cases of parkinsonism caused by cavernomas (18,19,20,21). Cases of cavernoma causing chorea are rare and lesion is usually localized in the caudate nucleus (4,5,6,7,8).…”

Section: Discussionmentioning

confidence: 99%

“…Three of these cases are above the age of 65, similar to our patient. Chorea improved in one of them without treatment, symptoms were too mild to require treatment (6,8). The third case benefited from surgical treatment (4).…”

Section: Discussionmentioning

confidence: 99%

“…Unilateral chorea is known as hemichorea and is usually associated with vascular causes, including cerebral infarctions, arteriovenous malformations and subdural hematomas (2). Cavernomas rarely cause chorea and there are fairly few cases reported in the literature (3,4,5,6,7,8). Here we discuss a case of intracerebral cavernoma identified as a result of investigations in a case of chorea where the initial clinical picture of hemichorea later transformed to limited chorea of unilateral lower extremity.…”

Section: Introductionmentioning

confidence: 93%

See 3 more Smart Citations

İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

Barut¹,

Demiryürek²,

Türksoy³

2013

tnd

View full text Add to dashboard Cite

Sum maryAlthough vascular factors are considered primarily in the etiology of hemichorea among the elderly, chorea related to congenital vascular malformations including cavernous angioma are reported very rarely. We found cavernous angioma to be the cause of persistant, unilateral chorea localized to the right lower extremity in a 83 year-old woman. In this article we would like to highlight the etiology of chorea in patients with late onset movement disorders.

show abstract

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

See 2 more Smart Citations

İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

Barut¹,

Demiryürek²,

Türksoy³

2013

tnd

View full text Add to dashboard Cite

show abstract

“…Late-onset cases are secondary and vascular causes are usually prominent (2,3,5,6,7,8,9,10,11,12,13,14). Infarct, hemorrhage, cavernoma, and arteriovenous malformation (AVM) are among the possible vascular causes (2,3,5,6,7,8,9,10,11,12,13,14). Metabolic disturbances including hyperglycemia, particularly nonketotic hyperglycemia may be associated with many neurologic disorders (4).…”

Section: Introductionmentioning

confidence: 99%

Hemichorea and Hemiballismus Associated with Cerebral Vascular Malformation Induced by Hyperglycemia: Case Report

Selçuk¹,

Sorgun²,

Akpınar³

2016

tnd

View full text Add to dashboard Cite

Hemichorea, hemiballismus, and hyperglycemia associated with vascular malformation is rare. We report a patient who presented with involuntary movements in the left-side with concurrent hyperglycemia. The patient had type 2 diabetes mellitus (DM) and a venous angioma in the basal ganglia on the cranial magnetic resonance imaging (MRI). A woman aged 49 years presented with flinging and throwing movements of the left upper and lower limb, which she had had for one month. Her neurologic examination confirmed involuntary, irregular, wide amplitude movements of the left limbs consistent with left hemiballismus. She had hypertension and type 2 DM. Her glucose level was 400 mg/dL. Cranial MRI showed a cavernoma in the right subependymal area of the lateral ventricle and a venous angioma in the right nucleus lentiformis, which was confirmed on digital subtraction angiography. Hemiballismus improved after blood glucose level had been regulated in the follow-up period. Especially in the elderly secondary causes should be investigated in patients with acute or subacute onset of choreaballismus. We think that our patient's clinical presentation was induced by unregulated DM. Venous angioma with chorea-ballismus is rarely stated in literature and we presume the mass effect of venous angioma could be responsible of our clinical findings. Keywords: Chorea, ballismus, vascular malformation, hyperglycemiaVasküler malformasyona bağlı hemiballizm, hemikore ve hiperglisemi birlikteliği olgusuna az rastlanmaktadır. Biz burada başlangıç kliniği sol taraflı istemsiz hareketler olan, yapılan tetkiklerde hiperglisemi saptanan, iyi regüle edilememiş tip 2 diabetes mellitus (DM) özgeçmişi olan ve kranyal manyetik rezonans görüntülemede (MRG) bazal ganglionlar düzeyinde venöz anjiom tespit edilen bir olguyu sunuyoruz. Kırk dokuz yaşındaki kadın hasta, yaklaşık bir aydır sol kol ve sol bacakta, istemsiz, atma şeklindeki hareket şikayeti ile başvurdu. Özgeçmişinde hipertansiyon ve tip 2 DM öyküsü vardı. Hastanın muayenesinde sol taraflı, kalça ve omuzdan başlayan, şiddetli, atma şeklinde hemiballizm görüldü. Hastanın bakılan tetkiklerinde kan şekeri 400 mg/dL olarak ölçüldü. Kranyal MRG'sinde sağ nükleus lentiformis düzeyinde venöz anjiyom ve sağ lateral ventrikül korpus lateralinde, subependimal yerleşimli, vasküler malformasyonu düşündüren lezyon tespit edildi ve ardından dijital dört damar serebral anjiyografisinde gösterildi. Takibinde kan şekeri regülasyonu sağlanan hastanın hemiballizminde tama yakın klinik düzelme oldu. Özellikle ileri yaşlı olgularda, akut veya subakut başlangıçlı kore-ballizm, özellikle sekonder nedenleri akla getirmelidir. Vasküler malformasyona bağlı hemiballizm, hemikore ve hiperglisemi birlikteliği olgusuna az rastlanmaktadır. Sunulan olguda iyi regüle edilememiş DM hastamızın kliniğinin belirmesinde kolaylaştırıcı etken olduğunu ve yine literatürde az rastlanan venöz anjiyom ve kore-ballizm birlikteliğinde, venöz anomalinin özellikle kitle etkisinin klinikten sorumlu olabileceğini düşünüyoruz.

show abstract

Differential Diagnosis of Movement Disorders in Clinical Practice

Rana

Hedera²

2014

View full text Add to dashboard Cite

MRI appearance of a cerebral cavernous malformation in the caudate nucleus before and after chorea onset

Cited by 9 publications

References 11 publications

İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

Hemichorea and Hemiballismus Associated with Cerebral Vascular Malformation Induced by Hyperglycemia: Case Report

Differential Diagnosis of Movement Disorders in Clinical Practice

Contact Info

Product

Resources

About