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Neurological Sciences

, Volume 40, Issue 1, pp 189–191 | Cite as

Delayed onset dancing hand syndrome following thalamic hemorrhage

  • Sanjeev Kumar BhoiEmail author
  • Suprava Naik
  • Menka Jha
  • Lorika Sahu
Letter to the Editor
  • 24 Downloads

Dear Editor,

Unilateral chorea or hemichorea is a form of hyperkinetic movement disorder. It is usually associated with vascular causes, such as cerebral infarctions, arteriovenous malformations, and subdural hematomas [1]. These movements usually occur within the first week of strategic stroke when the patient starts recovering from the acute stroke. Delayed onset occurrence of hemichorea has not been described. In this communication, we report a case of hemichorea which developed after 7 months of thalamic hemorrhage and its management.

A 53-year-old female presented to our department with history of involuntary movement of right upper limb of 1-month duration. The movement was sudden in onset, non progressive, low amplitude, coarse in nature, typically involving distal part of right upper limb. It was persisting throughout the day, more prominent during activity and disappeared during sleep. There was associated twitching movement of right angle of jaw. She is a known hypertensive...

Notes

Acknowledgements

We thank Mr. Divendu Deewan for neurophysiological studies and secretarial help.

Compliance with ethical standards

Informed consent

Informed consent was obtained from the patient included in the study. “Additional informed consent was obtained from the patient for whom identifying information is included in this article.”

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants and or animals

For this type of study (case report), formal consent is not required.

Supplementary material

10072_2018_3549_MOESM1_ESM.mp4 (4.9 mb)
Video 1 There are choreic involuntary movements of the right upper extremities which are accentuated by mental stress and action (MP4 5062 kb)
10072_2018_3549_MOESM2_ESM.mp4 (6.7 mb)
Video 2 Significant decrease in choreiform movement after treatment (MP4 6821 kb)

References

  1. 1.
    Suchowersky O, Muthipeedika J (2005) A case of late-onset chorea. Nat Clin Pract Neurol 1(2):113–116CrossRefGoogle Scholar
  2. 2.
    Chung SJ, Im JH, Lee MC, Kim JS (2004) Hemichorea after stroke: clinical-radiological correlation. J Neurol 251(6):725–729CrossRefGoogle Scholar
  3. 3.
    Alarcon F, Zijlmans JC, Duenas G, Cevallos N (2004) Post-stroke movement disorders: report of 56 patients. J Neurol Neurosurg Psychiatry 75(11):1568–1574CrossRefGoogle Scholar
  4. 4.
    Kim JS (2001) Delayed onset mixed involuntary movements after thalamic stroke. Clinical, radiological and pathophysiological findings. Brain 124(Pt 2):299–309CrossRefGoogle Scholar
  5. 5.
    Kim JS, Lee KS, Lee KH, Kim YI, Kim BS, Chung YA, Chung SK (2002) Evidence of thalamic disinhibition in patients with hemichorea: semiquantitative analysis using SPECT. J Neurol Neurosurg Psychiatry 72(3):329–333CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurologyAll India Institute of Medical SciencesBhubaneswarIndia
  2. 2.Department of RadiodiagnosisAll India Institute of Medical SciencesBhubaneswarIndia

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