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Hemiballism-hemichorea Induced by Subcortical Ischemia

Published online by Cambridge University Press:  18 September 2015

Fukhi Toshiya*
Affiliation:
Department of Neurology, Showa University School of Medicine, Tokyo (T.F., Y.H., S.S., T.T., K.S.), and Kakeyu Hospital, Nagano (H.T.), Japan
Hasegawa YuKihiro*
Affiliation:
Department of Neurology, Showa University School of Medicine, Tokyo (T.F., Y.H., S.S., T.T., K.S.), and Kakeyu Hospital, Nagano (H.T.), Japan
Seriyama Shinya*
Affiliation:
Department of Neurology, Showa University School of Medicine, Tokyo (T.F., Y.H., S.S., T.T., K.S.), and Kakeyu Hospital, Nagano (H.T.), Japan
Takeuchi Toru*
Affiliation:
Department of Neurology, Showa University School of Medicine, Tokyo (T.F., Y.H., S.S., T.T., K.S.), and Kakeyu Hospital, Nagano (H.T.), Japan
Sugita Koujiro*
Affiliation:
Department of Neurology, Showa University School of Medicine, Tokyo (T.F., Y.H., S.S., T.T., K.S.), and Kakeyu Hospital, Nagano (H.T.), Japan
Taukagoshi Hiroshi*
Affiliation:
Department of Neurology, Showa University School of Medicine, Tokyo (T.F., Y.H., S.S., T.T., K.S.), and Kakeyu Hospital, Nagano (H.T.), Japan
*
Department of Neurology, Showa University School of Medicine, 1 - 5 - 8 Hatanodai, Shinagawa - ku, Tokyo, 142 Japan
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Abstract:

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Four patients presented with hemiballism-hemichorea as a clinical manifestation of white matter ischemia. These patients illustrate “positive” motor phenomena rather than limb weakness as a consequence of cerebral ischemia. In each patient, the involuntary movements disappeared following worsening of paresis. Subcortical white matter infarction in three patients and hemodynamic hypo-perfusion in the cerebral hemisphere contralateral to dyskinetic movements were possible causes. Neuroradiologically, none had pathological changes in the vicinity of the subthalamic nucleus. We presume from these observations that ischemia of the subcortical white matter, without involvement of the basal ganglia or the subthalamic nucleus, may cause hemiballism-hemichorea

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

References

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