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Hemiballismus from a parietal stroke in a Parkinson patient
Motasem Al-Yacoub1, Joseph H Friedman, Hubert H Fernandez
1Department of Clinical Neurosciences, Brown University School of Medicine, Providence, RI, USA.
Abstract:
Stroke-induced hemiballismus (HB) has been reported to improve motor function in people with Parkinson's disease (PD). We report on a patient who developed HB from a parietal infarct. The HB was improved by very low-dose clozapine but the HB did not improve the parkinsonism. This suggests that HB itself, whether from a lesion in the subthalamic nucleus or elsewhere, is not what improves motor function in PD; instead, the physiological function of the damaged structure is the determining factor.
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