J Korean Geriatr Soc.  2007 Sep;11(3):170-173.

Hemiballism as First Isolated Manifestation Following Caudate Infarction

Affiliations
  • 1Department of Neurology, College of Medicine, The Catholic University of Korea, Korea. ks1007@Catholic.ac.kr

Abstract

Hemiballism is a rare hyperkinetic involuntary movement disorder that presents with unilateral forceful, flinging, large amplitude of proximal limbs. The most consistent neuropathological findings in hemiballism are a lesion of the contralateral subthalamic nucleus and pallidosubthalamic tract. However, we experienced a patient with pure hemiballism as isolated manifestation of acute ischemic stroke without other neurological abnormal symptoms such as chorea or dystonia. Brain magnetic resonance image showed acute ischemic stroke in right caudate nucleus but not subthalamic nucleus.

Keyword

Hemiballism; Caudate nucleus; Acute ischemic stroke

MeSH Terms

Brain
Caudate Nucleus
Chorea
Dyskinesias*
Dystonia
Extremities
Humans
Infarction*
Stroke
Subthalamic Nucleus
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