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CASE REPORT
Year : 2014  |  Volume : 3  |  Issue : 3  |  Page : 179-181

Hemiballism following putaminal hemorrhage


Department of Medicine, Goverment of Medical College, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Ishrat Hussain Dar
Department of Medicine, Government Medical College, Srinagar - 190 010, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-0521.142340

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Movement disorders occur uncommonly after stroke and include both hyperkinetic and parkinsonian conditions. They can occur at the time of stroke or appear as later manifestations. Post-stroke hemiballism is an uncommon involuntary hyperkinetic disorder involving unilateral body parts. The incidence and precise lesion location of post-stroke hemiballism remain unclear. Cerebrovascular disease, particularly hemorrhage, due to the involvement of middle or posterior cerebral artery or vessels supplying the basal ganglia are commonly implicated in the causation of movement disorders. Deep vascular lesions are more frequent in patients with movement disorders. Chorea or hemiballism is a rare presentation of putaminal hemorrhage and is the most common movement disorder to appear in older patients. Involuntary movements tend to persist despite good functional recovery of the motor deficit. Presented here is a case of hemiballism in a 74-year-old man, who had a hemorrhagic stroke.


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