keyword
https://read.qxmd.com/read/28658838/hemi-chorea-in-a-patient-with-ketotic-hyperglycemia-an-unusual-presentation
#21
Pendela Venkata Satish, Kudaravalli Pujitha, Neha Agrawal, Thomas Mathew, Sudha Vidyasagar
Chorea has often been associated with lesions in the basal ganglia and in the sub thalamic nucleus. It is possible for a patient with chorea-ballismus to have hyperglycemia at the initial presentation. We hereby present a case of an 81-year-old female, who was on treatment for type 2 diabetes mellitus and presented to us with sub acute onset of abnormal movements of right side of the body. She had semi purposeful, rapid and jerky movements of right upper limb and lower limb along with abnormal tongue movements...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://read.qxmd.com/read/28360574/chorea-ballismus-associated-with-hyperglycemia
#22
JOURNAL ARTICLE
Elif Kocasoy Orhan, M Mert Atmaca, Melek Atmaca, Haşmet A Hanağasi
Chorea-ballismus which is a rare complication of nonketotic hyperglycemia may be the first symptom of type 2 diabetes mellitus. In this paper, we present two patients, who had involuntary movements and were diagnosed as having ballismus-chorea associated with nonketotic hyperglycemia. While one of the patients was not diagnosed with diabetes mellitus, the other one did not administer insulin therapy for a long time which was prescribed. The patients were investigated by cranial imaging and biochemical tests...
December 2013: Noro Psikiyatri Arsivi
https://read.qxmd.com/read/28057843/diphenhydramine-for-acute-extrapyramidal-symptoms-after-propofol-administration
#23
JOURNAL ARTICLE
James Sherer, Tomas Salazar, Kevin B Schesing, Shannon McPartland, Jeffrey Kornitzer
Extrapyramidal symptoms are an uncommon but well-recognized side effect after the administration of general anesthesia in patients without a significant neurologic history. Several case reports implicate propofol as the likely causative agent producing these symptoms, which include ballismus, dystonia, choreoathetosis, and opisthotonus. Currently, there is no clear consensus on first-line treatment of these symptoms. In each of the published cases, anticholinergic medications and benzodiazepines were central to initial management, although the speed and extent of symptom resolution were variable...
February 2017: Pediatrics
https://read.qxmd.com/read/27068059/clinical-course-of-six-children-with-gnao1-mutations-causing-a-severe-and-distinctive-movement-disorder
#24
JOURNAL ARTICLE
Amitha L Ananth, Amy Robichaux-Viehoever, Young-Min Kim, Andrea Hanson-Kahn, Rachel Cox, Gregory M Enns, Jonathan Strober, Marcia Willing, Bradley L Schlaggar, Yvonne W Wu, Jonathan A Bernstein
OBJECTIVES: Mutations in GNAO1 have been described in 11 patients to date. Although most of these individuals had epileptic encephalopathy, four patients had a severe movement disorder as the prominent feature. We describe the largest series of patients with de novoGNAO1 mutations who have severe chorea, developmental delay, and hypotonia in the absence of epilepsy. METHODS: Six patients with recurrent missense mutations in GNAO1 as detected by whole exome sequencing were identified at three institutions...
June 2016: Pediatric Neurology
https://read.qxmd.com/read/26803189/nonketotic-hyperglycemia-presenting-as-monoballism
#25
JOURNAL ARTICLE
Amitesh Aggarwal, Nitin Bansal, Raghav Aggarwal
BACKGROUND: Monoballismus is rarely seen clinically, but when observed, it is usually a manifestation of an acute cerebrovascular accident (CVA). We report a case of monoballismus observed in a patient without evidence of a CVA. CASE REPORT: We observed a case of monoballismus in a 60-year-old diabetic patient who had not had a stroke. The movement disorder resolved with improvement of the patient's hyperglycemia. Nonketotic hyperglycemia is an uncommon cause of ballismus...
March 2016: Journal of Emergency Medicine
https://read.qxmd.com/read/26110802/movement-disorders-emergencies
#26
REVIEW
Renato P Munhoz, Laura M Scorr, Stewart A Factor
PURPOSE OF REVIEW: Although movement disorders are traditionally viewed as chronic diseases that are followed electively, a growing number of these patients present with acute, severe syndromes or complications of their underlying neurological problem. Identifying and managing movement disorders emergencies is challenging, even for the specialist. This review summarizes evidence outlining the clinical presentation of acute, life-threatening movement disorders. RECENT FINDINGS: We review the most significant aspects in the most common movement disorders emergencies, including acute complications related to Parkinson's disease and parkinsonism, serotonergic, and neuroleptic malignant syndromes, chorea, ballismus, dystonia, myoclonus, and tics...
August 2015: Current Opinion in Neurology
https://read.qxmd.com/read/24421947/classic-neuroimaging-findings-of-nonketotic-hyperglycemia-on-computed-tomography-and-magnetic-resonance-imaging-with-absence-of-typical-movement-disorder-symptoms-hemichorea-hemiballism
#27
JOURNAL ARTICLE
Barry G Hansford, Dara Albert, Edward Yang
While there are broad differential diagnoses for either the clinical finding of hemichorea-hemiballism or the imaging finding of lateralizing/asymmetric basal ganglia lesions (hyperdense on computed tomography, hyperintense on T1 magnetic resonance imaging), the presence of both findings is highly suggestive of nonketotic hyperglycemia. We present an unusual case of a patient with vague stroke-like complaints and imaging findings notable for lateralizing basal ganglia lesions. Laboratory analysis revealed nonketotic hyperglycemia and neurologic exam failed to elicit any findings of movement disorder...
August 2013: Journal of Radiology Case Reports
https://read.qxmd.com/read/24314682/movement-disorders-in-multiple-sclerosis
#28
REVIEW
Patricia K Oakes, Sindhu R Srivatsal, Marie Y Davis, Ali Samii
Movement disorders constitute a subspecialty of neurology focusing on a variety of conditions characterized by hypokinetic, hyperkinetic, or abnormally coordinated movements including, among others, tremor, dystonia, parkinsonism, myoclonus, chorea, ballismus, tics, restless limbs, and ataxia. The term "movement disorders" may be used to refer to either abnormal movements or syndromes that cause these abnormal movements. The classification of movement disorders is based on phenomenology, individual syndromes, or etiology...
November 2013: Physical Medicine and Rehabilitation Clinics of North America
https://read.qxmd.com/read/23185174/pure-hemi-chorea-resulting-from-an-acute-phase-of-contralateral-thalamic-lacunar-infarction-a-case-report
#29
JOURNAL ARTICLE
Teruyuki Takahashi, Hideaki Kanamori, Rihiro Shigehara, Sachiko Nonaka Takahashi, Masato Tamura, Toshiaki Takasu, Marohito Murakami
BACKGROUND: Thalamic lesions give rise to a variety of clinical syndromes such as pure sensory stroke, ataxic hemiparesis, and rarely involuntary movements including chorea. Generally and classically, lacunar infarction in the subthalamic nucleus has been regarded as the lesion mainly responsible for hemi-chorea and hemi-ballismus, on the basis of previous anatomical studies. CASE PRESENTATION: This report describes the case of an 81-year-old man who developed sudden-onset pure hemi-chorea in the right limbs resulting from an acute phase of left thalamic lacunar infarction detected on a diffusion-weighted image (DWI) in an MRI study...
September 2012: Case Reports in Neurology
https://read.qxmd.com/read/22750765/ballismus-as-a-sign-of-transitional-ischemic-attack
#30
JOURNAL ARTICLE
Seied Hesam Rahmani, Samad Shams Vahdati, Sajad Ahmadi, Arezou Tajlil
A 70-year-old woman presented to our emergency center with a complaint of jerking and twisting movements in her left upper limb and left ankle with deviation of her mouth toward the left. The movements had lasted two minutes and the deviation resolved spontaneously after 30 minutes. She had a history of similar movements five days earlier. During her stay in the emergency center, she experienced the same movements three times. A CT scan without contrast showed a small lesion in the left putamen. Four vessel color Doppler sonography showed a small atheroma plaque in the proximal part of the left internal carotid artery with stenosis less than ten percent...
January 2013: Annals of Saudi Medicine
https://read.qxmd.com/read/22735241/neurological-symptoms-genotype-phenotype-correlations-and-ethnic-specific-differences-in-bulgarian-patients-with-wilson-disease
#31
JOURNAL ARTICLE
Violeta Mihaylova, Teodor Todorov, Hristo Jelev, Iskren Kotsev, Ludmila Angelova, Olga Kosseva, Georgi Georgiev, Ralica Ganeva, Silvia Cherninkova, Ludmila Tankova, Aleksei Savov, Ivailo Tournev
OBJECTIVES: The aim of our study was to characterize the neurological symptoms in Bulgarian patients with Wilson disease (WD), to investigate genotype-phenotype correlations, and to test whether there are differences in phenotype between patients of different ethnic origin. PATIENTS AND METHODS: A total of 126 Bulgarian patients with WD were included in the study. Detailed history, physical and neurological examination, laboratory investigation of copper metabolism, slit-lamp examination, abdominal ultrasound, magnetic resonance imaging/computed tomography of the brain, molecular genetic testing, and statistical analysis were performed...
July 2012: Neurologist
https://read.qxmd.com/read/22729344/hyperosmolar-non-ketotic-hyperglycaemia-an-important-and-reversible-cause-of-acute-bilateral-ballismus
#32
JOURNAL ARTICLE
Philip Milburn-McNulty, Benedict D Michael, Henry J Woodford, Andrew Nicolson
An 83-year-old lady with type 2 diabetes mellitus was admitted to hospital with pneumonia. After 3 days of oral amoxicillin she developed ballism-choreiform movements of all four limbs. Her serum glucose and osmolality were raised. She had no factors suggestive of genetic or iatrogenic causes. A CT scan of the brain revealed bilateral putamen hyperintensities. She was started on tetrabenazine and subcutaneous insulin, which led to complete resolution of her symptoms.
2012: BMJ Case Reports
https://read.qxmd.com/read/22383069/ct-and-mri-findings-in-the-basal-ganglia-in-non-ketotic-hyperglycaemia-associated-hemichorea-and-hemi-ballismus-hc-hb
#33
JOURNAL ARTICLE
Zahia Zaitout
No abstract text is available yet for this article.
October 2012: Neuroradiology
https://read.qxmd.com/read/22187591/hemichorea-hemiballismus-as-an-initial-manifestation-in-a-moroccan-patient-with-acquired-immunodeficiency-syndrome-and-toxoplasma-infection-a-case-report-and-review-of-the-literature
#34
REVIEW
Samira Rabhi, Kawthar Amrani, Mustapha Maaroufi, Zineb Khammar, Hajar Khibri, Maha Ouazzani, Rhizlane Berrady, Siham Tizniti, Ouafae Messouak, Faouzy Belahsen, Wafaa Bono
Neurologic signs and symptoms may represent the initial presentation of AIDS in 10-30% of patients. Movement disorders may be the result of direct central nervous system infection by human immunodeficiency virus (HIV) or the result of opportunistic infections. We report the case of a 59 years old woman who had hemichorea-hemiballismus subsequently found to be secondary to a cerebral toxoplasmosis infection revealing HIV infection. Movement disorders, headache and nausea were resolved after two weeks of antitoxoplasmic treatment...
2011: Pan African Medical Journal
https://read.qxmd.com/read/21786135/neuronal-discharge-patterns-in-the-globus-pallidus-pars-interna-in-a-patient-with-parkinson-s-disease-and-hemiballismus-secondary-to-subthalamotomy
#35
COMPARATIVE STUDY
Daniel Cerquetti, José Angel Obeso, Marcelo Merello
Alterations in the basal ganglia-thalamocortical "motor" circuit activity, have been proposed to explain many features associated with hypokinetic and hyperkinetic movement disorders. We describe the firing pattern of the globus pallidus pars interna in a Parkinson disease's patient who developed Hemichorea-Ballismus subsequent to ipsilateral subthalamotomy, and compare findings to those from PD patients submitted to pallidotomy while in the OFF-medication state. Single units obtained from extracellular recordings were extracted and mean discharge frequency, interspike interval and coefficient of variation (defined as Tonicity Score) were computed...
September 2011: Experimental Brain Research. Experimentelle Hirnforschung. Expérimentation Cérébrale
https://read.qxmd.com/read/21577108/movement-disorders-in-paraneoplastic-and-autoimmune-disease
#36
REVIEW
Jessica Panzer, Josep Dalmau
PURPOSE OF REVIEW: The most relevant advances in immune-mediated movement disorders are described, with emphasis on the clinical--immunological associations, novel antigens, and treatment. RECENT FINDINGS: Many movement disorders previously considered idiopathic or degenerative are now recognized as immune-mediated. Some disorders are paraneoplastic, such as anti-CRMP5-associated chorea, anti-Ma2 hypokinesis and rigidity, anti-Yo cerebellar ataxia and tremor, and anti-Hu ataxia and pesudoathetosis...
August 2011: Current Opinion in Neurology
https://read.qxmd.com/read/21199858/lingual-dyskinesia-and-tics-a-novel-presentation-of-copper-metabolism-disorder
#37
JOURNAL ARTICLE
Helly R Goez, Francois D Jacob, Jerome Y Yager
Copper is a trace element that is required for cellular respiration, neurotransmitter biosynthesis, pigment formation, antioxidant defense, peptide amidation, and formation of connective tissue. Abnormalities of copper metabolism have been linked with neurologic disorders that affect movement, such as Wilson disease and Menkes disease; however, the diagnosis of non-Wilson, non-Menkes-type copper-metabolism disorders has been more elusive, especially in cases with atypical characteristics. We present here the case of an adolescent with a novel presentation of copper-metabolism disorder who exhibited acute severe hemilingual dyskinesia and prominent tics, with ballismus of the upper limbs, but had normal brain and spinal MRI results and did not show any signs of dysarthria or dysphagia...
February 2011: Pediatrics
https://read.qxmd.com/read/20520966/-hemiballism-hemichorea-with-non-ketotic-hyperglycemia-movement-disorder-related-to-diabetes-mellitus
#38
JOURNAL ARTICLE
Viviane Flumignan Zétola, Bruno Verschoor, Fernando M Lima, Francisco E Ottmann, Eloisa Doubrawa, Eduardo Paiva, Maurício de Carvalho, Hélio A G Teive
Diabetes mellitus, especially when not under control, can lead to several neurological complications being the development of involuntary movements one of the rarest presentations. Nonketotic hyperglycemia in aged patients who present with ballismus-chorea movements and cerebral image alterations in computerized tomography (CT) and magnetic resonance constitute a syndrome of recent characterization and few cases in literature. We present a case of a 75 year-old male patient admitted with history of hemiballismus-hemichorea movements, hyperglycemia, glycated hemoglobin of 14...
March 2010: Arquivos Brasileiros de Endocrinologia e Metabologia
https://read.qxmd.com/read/20519826/gradient-echo-t2-weighted-mr-findings-of-diabetic-chorea-and-ballismus
#39
JOURNAL ARTICLE
Yoshiharu Taguchi, Shutaro Takashima, Kortaro Tanaka
No abstract text is available yet for this article.
2010: Internal Medicine
https://read.qxmd.com/read/20127576/pearls-hyperkinetic-movement-disorders
#40
JOURNAL ARTICLE
Stephen G Reich
Hyperkinetic movement disorders are characterized by an excessive degree of involuntary motor activity and are classified by their clinical phenomenology. The five major categories include tremor, dystonia, chorea and ballismus, tics, and myoclonus. This article presents a series of "pearls" for each category of movements, emphasizing the recognition of common disorders as well as rare, but treatable hyperkinesias. In addition to the major categories, clinical pearls also cover drug-induced movement disorders and psychogenic movement disorders...
February 2010: Seminars in Neurology
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