e-ISSN 1309-2545      ISSN 1301-062X
TR    ENG
 

Download Current Issue.

Volume : 23 Issue : 3 Year : 2017

Current Issue Archive Popular Articles Ahead of Print Submit Your Article Login
Turkish Journal of Neurology Indexed By
 
  Search






Hemichorea and Hemiballismus Associated with Cerebral Vascular Malformation Induced by Hyperglycemia: Case Report [Turk J Neurol]
Turk J Neurol. 2016; 22(2): 80-83 | DOI: 10.4274/tnd.39205  

Hemichorea and Hemiballismus Associated with Cerebral Vascular Malformation Induced by Hyperglycemia: Case Report

Ferda Selçuk1, Mine Hayriye Sorgun2, Süha Akpınar3
1Dr. Burhan Nalbantoğlu State Hospital, Clinic of Neurology, Nicosia, Turkish Republic of Northern Cyprus
2Ankara University Faculty of Medicine, İbni Sina Hospital, Clinic of Neurology, Ankara, Turkey
3Near East State University Hospital, Clinic of Radiology, Nicosia, Turkish Republic of Northern Cyprus

Hemichorea, hemiballismus, and hyperglycemia associated with vascular malformation is rare. We report a patient who presented with involuntary movements in the left-side with concurrent hyperglycemia. The patient had type 2 diabetes mellitus (DM) and a venous angioma in the basal ganglia on the cranial magnetic resonance imaging (MRI). A woman aged 49 years presented with flinging and throwing movements of the left upper and lower limb, which she had had for one month. Her neurologic examination confirmed involuntary, irregular, wide amplitude movements of the left limbs consistent with left hemiballismus. She had hypertension and type 2 DM. Her glucose level was 400 mg/dL. Cranial MRI showed a cavernoma in the right subependymal area of the lateral ventricle and a venous angioma in the right nucleus lentiformis, which was confirmed on digital subtraction angiography. Hemiballismus improved after blood glucose level had been regulated in the follow-up period. Especially in the elderly secondary causes should be investigated in patients with acute or subacute onset of choreaballismus. We think that our patient’s clinical presentation was induced by unregulated DM. Venous angioma with chorea-ballismus is rarely stated in literature and we presume the mass effect of venous angioma could be responsible of our clinical findings.

Keywords: Chorea, ballismus, vascular malformation, hyperglycemia


Ferda Selçuk, Mine Hayriye Sorgun, Süha Akpınar. Hemichorea and Hemiballismus Associated with Cerebral Vascular Malformation Induced by Hyperglycemia: Case Report. Turk J Neurol. 2016; 22(2): 80-83

Corresponding Author: Mine Hayriye Sorgun, Türkiye


TOOLS
English Full Text
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar




 
© Copyright nse.Write(DateTime.Now.Year); %> Turkish Journal of Neurology
Home        |        Contact
LookUs & OnlineMakale