Intravenous thrombolysis in acute Hemi-chorea hemi-ballismus syndrome

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Case Report

Author Details : Gaurav Shah*

Volume : 10, Issue : 3, Year : 2024

Article Page : 168-170

https://doi.org/10.18231/j.ijn.2024.036

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Abstract

Hyperkinetic movement disorders of acute onset are rare manifestation of acute ischemic stroke.They are believed to be due to lesion in basal ganglia specifically to sub thalamic nuclei. Intravenous thrombolysis in this cases can prevent major disability. Here is a case of a 32 years old lady who had sudden onset of involuntary movements of left upper and lower limb with weakness of left side of the body. She was brought to the hospital within one hour of onset of her symptoms. Her vitals, blood sugars and CT brain plain was normal. Intravenous thrombolysis was done. She had complete resolution of symptoms in next 48 hours. MRI brain with angiography infarct in right caudate, putamen and anterior limb of internal capsule, M1 segment stenosis of right middle cerebral artery for which she was referred for carotid revascularization. Thus early identification and prompt treatment helps in prevention of disability.
 

Keywords: Hemi-chorea hemi-ballismus syndrome, Stroke, Thrombolysis

How to cite : Shah G, Intravenous thrombolysis in acute Hemi-chorea hemi-ballismus syndrome. IP Indian J Neurosci 2024;10(3):168-170

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