A case of Hemichorea-Hemiballism Induced by Acute Infarction of Bilateral Corona Radiata and Cortex.

Cell Biochem Biophys

Department of Nutrition and Food Hygiene, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.

Published: September 2015

AI Article Synopsis

  • Movement disorders, specifically hemichorea-hemiballism (HCHB), can occur as complications following a stroke.
  • A patient case study revealed HCHB linked to an acute infarction in both the corona radiata and cortex, even though the basal ganglia appeared unaffected on MRI.
  • The cause of the cortical HCHB may stem from reduced blood flow to the basal ganglia or disrupted connections between the cerebral cortex and basal ganglia.

Article Abstract

Movement disorders are a recognized complication of stroke. Here we present a case of hemichorea-hemiballism (HCHB) after stroke. Basal ganglia and thalamus are typically recognized as sites responsible for HCHB. The MRI scan showed acute infarction which was unexpectedly present in both sides of corona radiate and cortex, but not in basal ganglia. This cortical HCHB could have evolved due to hypoperfusion of basal ganglia undetectable at the MRI scan or due to interruption of excitatory connections from the cerebral cortex to basal ganglia.

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http://dx.doi.org/10.1007/s12013-015-0608-6DOI Listing

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