The patient was started on risperidone to control the debilitating
hemiballismus, and there was a marked reduction in the frequency and severity of the movements, with control of her hyperglycaemia.
Weiner, "
Hemiballismus: current concepts and review," Parkinsonism and Related Disorders, vol.
Ballismus mostly involves the extremities on one side of the body which means that is in the form of
hemiballismus. In type II diabetes mellitus (DM) patients who are not controlled well, one of the rare clinical indicators of non-ketotic hyperglycemia is the picture of "chorea-ballismus" (1).
Physical examination revealed left-sided
hemiballismus, limited and painful movements of the low back, hip and sacroiliac joints, and Kayser-Fleischer ring on eye examination.
Brain injury following NMS can cause truncal ataxia, limb ataxia, athetosis,
hemiballismus, dysmetria, dysarthria, sensory function problems, balance problems, persistent amnesia, difficulties comprehending commands, attention problems, and electroencephalograph or MRI abnormalities.
Since transient "positive" local signs are often encountered as a manifestation of neurologic events associated with a small acute hemorrhage, as illustrated by
hemiballismus associated with hemorrhage in the subthalamic nucleus, this case provides substantial support for the concept that central tinnitus might indeed represent a pathologic activation of neural networks of nonspecific auditory perception.
Regarding non-ketotic hyperglycaemia and hemichorea
hemiballismus syndrome
Hemiballismus. Clin Neuropharmacol 1990;13:413-425.
Lenz, "Pallidotomy for
hemiballismus: Efficacy and characteristics of neuronal activity," Annals of Neurology, vol.
Parkinsonism, dystonia,
hemiballismus, choreoathetosis, and oculogyric crises occur in 5-10% of patients with idiopathic hypoparathyroidism17, but are less common in patients with surgical hypoparathyroidism or other causes of hypocalcemia18.
Bizim serimizde 1 hastada
hemiballismus gelisti ve valproat tedavisi ile hastanin istemsiz hareketleri zaman icinde tamamen kayboldu.