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hemichorea due to ipsilateral thalamic infarction: A case report

World Journal of Clinical Cases 2021年第19期9卷 5287-5293页

作者： Zhao-Sheng Li Jia-Jia Fang Xiao-Hui Xiang Guo-Hua Zhao Department of Neurology The Fourth Affiliated HospitalZhejiang University School of MedicineYiwu 322000Zhejiang ProvinceChina

BACKGROUND hemichorea usually results from vascular lesions of the basal *** often,the lesion is contralateral to the affected limb but rarely,it may be *** pathophysiology of ipsilateral hemichorea is still poorly *** review the literature on hemichorea due to ipsilateral cerebral infarction and explore possible mechanisms for its *** SUMMARY A 72-year-old woman presented with complaints of involuntary movements of the muscles of the left side of the face and mild weakness of the right *** symptoms had started suddenly 1 d *** admission to the hospital,the involuntary movements spread to involve the left limbs *** resonance imaging revealed a left thalamic *** patient’s hemichorea subsided after treatment with haloperidol(2 mg per time,3 times/d)for 3 d;the hemiparesis resolved with rehabilitation *** is presently symptom free and on treatment for prevention of secondary *** review the literature on the occurrence of ipsilateral hemichorea following thalamic infarction and discuss the possible pathomechanisms of this unusual *** Ipsilateral hemichorea following a thalamic stroke is rare but it can be explained by structure of the extrapyramidal *** thalamus is a relay station that exerts a bilateral control of motor function.

关键词： Ipsilateral hemichorea Thalamic infarction Hemiparesis Stroke Case report

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hemichorea in nonketotic hyperglycemia: Putamenal and cerebellum lesion on MR imaging

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World Journal of Neuroscience 2012年第2期2卷 138-140页

作者： Yeting Zhou Guangsheng Wang Xiaodong Chen Tonghui Yang Yuanwei Wang Chunhong Chang Ying Wang Hanbei Gu Junjie Bao Gaihong Xu Daoming Tong Departments of Neurology Shuyang People’ Hospital Shuyang China Medical Evaluation Unit Shuyang People’ Hospital Shuyang China

hemichorea with corresponding putamenal T1 hyper-intensity and T2 hypointensity on MR imaging has occasionally been reported in diabetes mellitus with nonketotic hyperglycemia. However, the signal intensity in pu-tamenal and cerebellum lesion on MR imaging, which is believed to be pathogenetically related to hemichorea, is rarely documented in diabetes mellitus with nonketotic hyperglycemia. We describe a 57-year-old man with nonketotic hyperglycemic hemichorea on his right arm and legs, whose signal intensity in putamenal and cerebellum lesion was demonstrated by MR imaging.

关键词： Nonketotic Hyperglycemia hemichorea Diabetes Mellitus MRI

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