Biballism Presenting with Unilateral Basal Ganglia Lacunar Infarction in the Diabetic Patient.
- Author:
Moon Ku HAN
1
;
Sang Soo LEE
;
Seol Heul HAN
Author Information
1. Department of Neurology, College of Medicine, Chungbuk National University.
- Publication Type:Brief Communication
- MeSH:
Acetylcholine;
Aminobutyrates;
Basal Ganglia*;
Dyskinesias;
Humans;
Hyperglycemia;
Hypersensitivity;
Infarction;
Muscles;
Stroke;
Stroke, Lacunar*;
Subthalamic Nucleus
- From:Journal of the Korean Neurological Association
1996;14(4):1072-1075
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Biballism is an infrequent hyperkinetic disorder characterized by always ceaseless, repetitive, complex, violent involuntary movement involving proximal muscles. Biballism is classically ascribed to ischemic stroke in the subthalamic nucleus or its connections but other causes (infection, toxin, systemic disease) have been reported. Potential pathogenic mechanism include relative dopamlnergic hypersensitivity associated with basal ganglia lesion, impaired synthesis of acetylcholine or aminobutyric acid or undefined effect of hyperosmolarity. We report a case of biballism occurred due to a infarction of left basal ganglia and nonketotic hyperglycemia.
