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Hemiballism-hemichorea Induced by Subcortical Ischemia

Published online by Cambridge University Press:  18 September 2015

Fukhi Toshiya ,
Hasegawa YuKihiro ,
Seriyama Shinya ,
Takeuchi Toru ,
Sugita Koujiro  and
Taukagoshi Hiroshi
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
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 4 , November 1993 , pp. 324 - 328
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

References

REFERENCES

1.Martin, JP.Hemichorea resulting from a local lesion of the brain. Brain 1927; 50: 637–651.Google Scholar
2.Moersch, FP, Kernohan, JW. Hemiballismus. A clinicopathologic study. Arch Neurol Psychiatry 1939; 41: 365–372. (Correction 41; 1939: 1276.)Google Scholar
3.Papez, JW, Bennett, AE, Cash, PT.. Hemichorea (hemiballismus). Association with a pallidal lesion, involving afferent and efferent connections of the subthalamic nucleus; curare therapy. Arch Neurol Psychiatry 1942; 47: 667–676.Google Scholar
4.Whittier, JR.Ballism and the subthalamic nucleus. (Nucleushypothalamics; corpus Luysi). Review of the literature and study of thirty cases. Arch Neurol Psychiatry 1947; 58: 672–692.Google Scholar
5.Meyers, R, Sweeney, DB, Schwidde, JT.Hemiballismus: etiology and surgical treatment. J Neurol Neurosurg Psychiatry 1950; 13: 115–126.Google Scholar
6.Meyers, R. Ballismus In: Vinken, PJ, Bruyn, GW, eds. Diseases of the basal ganglia. Handbook of Clinical Neurology, vol 6. Amsterdam: North-Holland, 1968; 476–490.Google Scholar
7.Winfield, ME.Transient hemiballism. Ann Intern Med 1960; 53: 822–827.Google Scholar
8.Melamed, E, Korn-Lubetzki, I, Reches, A, Siew, F.Hemiballismus: detection of focal hemorrhage in the subthalamic nucleus by CT scan. Ann Neurol 1978; 4: 582.Google Scholar
9.Burama, OJS, Lakke, JPWF. Ballism. In: Vinken, PJ, Bruyn, GW, Klawans, HL, eds. Extrapyramidal disorders. Handbook of Clinical Neurolgy, vol 49. Amsterdam: Elsevier, 1986; 369–380.Google Scholar
10.Martin, JPHeimichorea (hemiballismus) without lesions in the corpus Luysii. Brain 1957; 80: 1–12.CrossRefGoogle ScholarPubMed
11.Schwarz, GA, Barrows, LJ.. Hemiballism without involvement of Luys’ body. Arch Neurol 1960; 2: 420–434.Google Scholar
12.Kase, CS, Maulsby, GO, deJuan, E, Mohr, JP.Hemichorea-hemibalIism and lacunar infarction in the basal ganglia. Neurology 1981; 31: 452–455.Google Scholar
13.Saris, S. Chorea caused by caudate infarction. Arch Neurol 1983; 40: 590–591.Google Scholar
14.Mas, JL, Launay, M, Derouesne, C.Hemiballism and CT-documented lacunar infarct in the lenticular nucleus. J Neurol Neurosurg Psychiatry 1987; 50: 104–105.Google Scholar
15.Ikeda, M, Tsukagoshi, H.Monochorea caused by a striatal lesion. Eur Neurol 1991; 31: 257–258.Google Scholar
16.Wilson, SAK.Die Pathogenese der unwillkurlichen Bewegungen mit besonderer Bercksichtigung der Pathologie und Pathogenese der Chorea. Dtsch Z Nervenheilkd 1929; 108: 4–38.Google Scholar
17.Martin, JPChoreatic syndromes. In: Vinken, PJ, Bruyn, GW, eds. Diseases of the Basal Ganglia. Handbook of Clinical Neurology, vol 6. Amsterdam: North-Holland, 1968: 435–439.Google Scholar
18.Johnson, WG, Fahn, S. Treatment of hemiballism and hemichorea. Neurology 1977; 27: 634–636.Google Scholar
19.Crossman, AR, Sambrook, MA, Jackson, A.Experimental hemichorea/hemiballismus in the monkey. Brain 1984; 107: 579–596.CrossRefGoogle ScholarPubMed
20.Lownie, SP, Gilbert, JJ.Hemichorea and hemiballismus: recent concepts. Clin Neuropathol 1990; 9: 46–50.Google Scholar
21.Carpenter, MB, Mettler, FA.Analysis of subthalamic hyperkinesia in the monkey with special reference to ablation of agranular cortex. J Comp Neurol 1951; 95: 125–157.Google Scholar
22.Penney, JB, Young, AB.. Speculations on the functional anatomy of basal ganglia disorders. Ann Rev Neurosci 1983; 6: 73–94.CrossRefGoogle ScholarPubMed
23.Young, AB, Penney, JB.Neurochemical anatomy of movement disorders. Neurol Clin 1984; 2: 417–433.Google Scholar
24.Penney, JB, Young, AB.Striatal inhomogeneities and basal ganglia function. Mov Disord 1986; 1: 3–15.Google Scholar
25.Albin, R, Young, A, Penney, J.The functional anatomy of basal ganglia disorders. Trends Neurosci 1989; 12: 366–375.Google Scholar
26.Hartmann-van Monakow, K, Akert, K, Kunzle, H.Projections of the precentrai motor cortex and other cortical areas of the frontal lobe to the subthalamic nucleus in the monkey. Exp Brain Res 1978; 33: 395–403.Google Scholar