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Radiological and pathological changes in hemiballism-hemichorea with striatal hyperintensity
Jaya Nath1, Kedar Jambhekar, Chandrakanth Rao
1Department of Radiology, Health Science Center at Brooklyn, State University of New York, Brooklyn, New York 11203, USA. Jnath@downstate.edu
We present a case of hemichorea-hemiballism and hyperglycemia in a woman, detailing CT and MRI findings. Autopsy revealed histopathologic evidence, offering insights into this rare neurological syndrome.
Area of Science:
- Neurology
- Radiology
- Pathology
Background:
- Hyperglycemia can manifest with movement disorders.
- Hemichorea-hemiballism (HCHB) is a rare hyperkinetic movement disorder.
Observation:
- A 50-year-old African-American woman presented with HCHB and hyperglycemia.
- CT and MRI revealed striatal hyperintensity.
Findings:
- Histopathologic findings from autopsy are correlated with imaging.
- The study explores potential explanations for the observed MR findings in this unique syndrome.
Implications:
- This case highlights the neuroimaging characteristics of hyperglycemia-associated movement disorders.
- Understanding these findings aids in diagnosing and managing similar rare neurological presentations.
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