Abstract
Hemiballism was observed in a 77-year-old woman with Parksinson disease after a contralateral lenticular infarct without apparent involvement of the subthalamic nucleus. Parkinsonian signs ipsilateral to the hemiballism remained abolished despite subsequent nearly complete recovery from the hyperkinesias. It is argued that clinical events were due to a single ischemic lesion of the putamen-pallidum complex.
Sommario
In un paziente con Morbo di Parkinson fu osservato un emiballismo secondario ad infarto lacunare del nucleo lenticolare controlaterale senza apparente coinvolgimento del nucleo subtalamico. I segni parkinsoniani omolaterali all'emiballismo non ricomparvero nonostante la pressoché completa risoluzione delle ipercinesie. È ipotizzabile che entrambe le manifestazioni cliniche osservate siano attribuibili ad una singola lesione ischemica del complesso putamen-pallido.
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References
Damasio H.:A computed tomographic guide to the identification of cerebral vascular territories. Arch. Neurol., 40:138–42, 1983.
Dubois B., Pillon B., De Saxce H., Lhermitte F., Agid Y.,Disappearance of parkinsonian signs after spontaneous vascular “thalamotomy”. Arch. Neurol., 43:815–817, 1986.
Fisher C.M.:Lacunes: small deep cerebral infarcts. Neurology, 15:774–784, 1965.
Gonce M., Shoenem J., Charlier M., Delwaide P.J.:Successful treatment of hemiballismus with progabide, a new gabamimetic agent. J. Neurol., 229:121–124, 1983.
Hughes B.:Involuntary movements following stereotactic operations for Parkinsonism with special reference to hemi-chorea (ballismus). J. Neurol. Neurosurg. Psychiat., 28:291–303, 1965.
Kase C.S., Maulsby G.O., Dejuan E., Mohr J.P.:Hemichorea-hemiballism and lacunar infarction in the basal ganglia. Neurology, 31:452–455, 1981.
Laitinen L.V.:Brain targets in surgery for Parkinson's disease. J. Neurosurg., 62:349–351, 1985.
Martin J.P.:Hemichorea (hemiballismus) without lesions in the corpus Luysii. Brain, 80:1–10, 1957.
Mas J.L., Launay M., Derouesne C.:Hemiballism and CT documented lacunar infarct in the lenticular nucleus. J. Neurol. Neurosurg. Psychiat., 50:104–105, 1987.
Modesti L.M., Van Buren J.M.:Hemiballism complicating stereotactic thalamotomy. Appl. Neurophysiol., 42:267–283, 1979.
Scwarz G.A., Barrows L.J.:Hemiballism without involvement of Luy's body. Arch. Neurol. 2:420–434, 1960.
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Scoditti, U., Rustichelli, P. & Calzetti, S. Spontaneous hemiballism and disappearance of parksinsonism following contralateral lenticular lacunar infarct. Ital J Neuro Sci 10, 575–577 (1989). https://doi.org/10.1007/BF02333793
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DOI: https://doi.org/10.1007/BF02333793