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Pure Cortical Stroke Causing Hemichorea-Hemiballismus

机译:纯皮质中风引起血清伤 - 半平肌

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摘要

Background: Movement disorders including hemichorea-hemiballism as the initial presentation of an acute ischemic stroke are uncommon. Structures outside of the deep subcortical areas such as the subthalamic nucleus or basal ganglia are rarely involved. Case Report: We report a case of a 72-year-old man with vascular risk factors who presented with acute onset right-sided hemichorea-hemiballism. Metabolic-, infectious-, and toxic-related conditions were ruled out, his EEG was without epileptiform changes. An MRI confirmed an acute ischemic stroke in the parieto-occipital region without any subcortical structures involved. Atrial Fibrillation was later discovered during his hospitalization and was treated appropriately. Conclusions: Although rare, strokes outside of the subthalamic nucleus can result in hemichorea-hemiballism.
机译:背景:在急性缺血性卒中的初始呈现中,包括血管血泡的运动障碍罕见。 诸如亚饱和核或基底神经节等诸如亚粒细胞区之外的结构很少参与。 案例报告:我们举报了一个72岁男性的案件,血管危险因素呈现急性发作右侧侧面半脚珠。 排除了代谢,传染性和毒性相关的条件,他的脑电图没有癫痫大均变化。 MRI在没有任何涉及的解剖结构的情况下证实了急性缺血性脑卒中。 在他的住院期间后来发现了心房颤动,并适当治疗。 结论:虽然罕见,亚粒细胞核外面的冲程可导致血清叶血泡。

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