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Distressing Belching with Chorea Induced by Caudate Infarction
Yui Sanpei1, Akira Hanazono1, Sachiko Kamada1
1Department of Neurology, Akita University Graduate School of Medicine, Akita, Japan.
Case Reports in Neurology
|January 27, 2022
Summary
Distressing belching can signal neurological issues, not just gastrointestinal problems. A case study shows caudate infarction can cause belching and chorea, treatable with haloperidol.
Area of Science:
- Neurology
- Gastroenterology
Background:
- Belching is commonly linked to gastrointestinal issues.
- However, belching can also manifest as a symptom of neurological movement disorders, including Parkinsonism and dystonia.
Observation:
- An elderly woman experienced severe belching and chorea (involuntary movements) in her right arm and leg for three years.
- Brain magnetic resonance imaging (MRI) revealed a left caudate infarction and associated atrophic changes.
Findings:
- The patient's belching and chorea significantly improved after treatment with haloperidol.
- This suggests a direct link between caudate infarction and the presentation of distressing belching accompanied by chorea.
Implications:
- Caudate infarction should be considered in the differential diagnosis of unexplained, distressing belching.
- Tailoring treatment based on accompanying involuntary movements is crucial for managing belching in movement disorder contexts.
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