Related Experiment Videos
[Hemiballism: report of eight cases]
P Coral1, H A Teive, L C Werneck
1Setor de Distúrbios do Movimento, Serviço de Neurologia, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, 80060-900, Brasil.
Arquivos De Neuro-Psiquiatria
|September 6, 2000
Summary
This study found that diabetes mellitus and stroke are commonly associated with hemiballism. Most patients experienced significant improvement with haloperidol treatment, indicating effective management options for this movement disorder.
Area of Science:
- Neurology
- Movement Disorders
Context:
- Hemiballism is a rare hyperkinetic movement disorder.
- Etiologies can include vascular events, metabolic disturbances, and infections.
Purpose:
- To investigate the clinical characteristics and outcomes of eight patients with hemiballism.
- To identify common associations and effective treatment strategies.
Summary:
- Six of eight patients had diabetes mellitus, with presentations including non-ketotic hyperglycemia, striatal hemorrhage, and ischemic stroke.
- One patient had porencephaly post-trauma, and another had HIV-associated cryptococcoma.
- Hemichorea occurred in 75% of cases, predominantly affecting the right side.
- Six patients responded well to haloperidol; two underwent thalamotomy with good results.
Impact:
- Highlights the significant association between diabetes mellitus, stroke, and hemiballism.
- Demonstrates the efficacy of haloperidol and thalamotomy in managing hemiballism.
- Provides valuable insights for clinicians managing patients with this condition.