Abstract
Introduction: Post-stroke movement disorders (PSMD) represent an important proportion of secondary movement disorders. Although extrapyramidal structures are frequently affected by stroke, the incidence of post-stroke movement disorders is relatively low.
Purpose: We report the case of a patient who developed hemiballismus of ischemic vascular origin, caused by a lacunar infarct in the right lenticular and capsular region.
Case presentation: We present the case of an 82-year-old male who came to the emergency department with sudden-onset hyperkinetic movements on the left side of his body. Clinical history and diagnostic tests indicated a vascular origin.
Conclusions: The sudden onset of movement disorders should alert healthcare personnel to the possibility of an ongoing cerebrovascular event.
References
Suri R, Rodriguez-Porcel F, Donohue K, Jesse E, Lovera L, Dwivedi AK, et al. Post-stroke movement disorders: the clinical, neuroanatomic, and demographic portrait of 284 published cases. J Stroke Cerebrovasc Dis. 2018;27(9):2388-97. https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.04.028
Alarcon F, Zijlmans JC, Dueñas G, Cevallos N. Post-stroke movement disorders: report of 56 patients. J Neurol Neurosurg Psychiatry. 2004;75(11):1568-74.
Ueta Y, Kato H, Naito M, Taguchi T, Terashi H, Aizawa H. Persistent hemichorea as a preceding symptom of cerebral infarction due to middle cerebral artery stenosis. Intern Med. 2021;60(23):3805-8. https://doi.org/10.2169/internalmedicine.7191-21
Tater P, Pandey S. Post-stroke movement disorders: clinical spectrum, pathogenesis, and management. Neurol India. 2021;69(2):272-83. https://doi.org/10.4103/0028-3886.314574
Strauss S, Rafie D, Nimma A, Romero R, Hanna PA. Pure cortical stroke causing hemichorea-hemiballismus. J Stroke Cerebrovasc Dis. 2019;28(10):104287. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.07.003
Onder H, Comoglu S. Investigation of the factors associated with hemichorea/hemiballismus in post-stroke patients. J Neural Transm. 2023;130(5):679-85. https://doi.org/10.1007/s00702-023-02628-3
Mehanna R, Jankovic J. Movement disorders in cerebrovascular disease. Lancet Neurol. 2013;12(6):597-608. https://doi.org/10.1016/S1474-4422(13)70057-7
Motolese F, Pezzella FR, Marano M, Di Lazzaro V, Anticoli S. Post-stroke hyperkinetic movement disorders: a brain network issue. Neurol Sci. 2021;42(4):1579-81. https://doi.org/10.1007/s10072-020-04832-5
Pandey S, Joutsa J, Mehanna R, Shukla AW, Rodriguez?Porcel F, Espay AJ. Gaps, controversies, and proposed roadmap for research in poststroke movement disorders. Mov Disord. 2022;37(10):1996-2007. https://doi.org/10.1002/mds.29218
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