Türk Beyin Damar Hast Derg. 2022; 28(1): 59-62 | DOI: 10.5505/tbdhd.2021.34866

Talamik hematoma baðlý geliþen akut baþlangýçlý hemiballismus: Olgu sunumu

Recep Baydemir, Þeyma Benli, Murat Gültekin
Erciyes Üniversitesi Týp Fakültesi, Nöroloji Anabilim Dalý, Kayseri

Akut inme sonrasýnda hareket bozukluðu nadirde olsa bildirilmiþtir. Ýnme sonrasýnda en çok bildirilen hareket bozukluðu hemikore-hemiballismustur. Hemikore; vücudun bir yarýsýný içine alan ani, spazmodik, düzensiz, kýsa süreli, parmak, el, kol, yüz, dil veya baþ hareketleridir. Ballismus kavramý ise yüksek amplitüdlü, þiddetli, savurma ya da atma þeklindeki hareketleri tanýmlar. Hemikore-hemiballismus; kontralateral bazal gangliyonlar, subtalamik nükleus ve talamus gibi lokalizasyonlardaki hasarlar sonucu ortaya çýkabilmektedir. Etyolojisinde nörodejeneratif hastalýklar, vasküler sebepler, metabolik bozukluklar ve genetik hastalýklar araþtýrýlmalýdýr. Bu vakada talamik hemoraji sonrasýnda geliþen ve haloperidol ile tedavi edilen hemiballismus olgusu sunulmuþtur.

Anahtar Kelimeler: Hemiballismus, talamik hemoraji, hiperkinetik hareket bozukluðu.

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Acute-onset hemiballismus due to thalamic hematoma: A case report

Recep Baydemir, Þeyma Benli, Murat Gültekin
Department of Neurology, Erciyes University Faculty of Medicine, Kayseri, Turkey

Rapidly onset movement disorders after acute stroke not very commonly reported. The most commonly reported movement disorder after stroke is hemichorea-hemiballismus. Hemichorea; is sudden, spasmodic, irregular, short-term movements of fingers, hands, arms, face, tongue or head involving one half of the body. Ballismus means high amplitude, violent, tossing or throwing movements. In general, hemichorea-hemiballismus; may occured as a result of damage in localizations such as contralateral basal ganglia, subthalamic nucleus and thalamus in central nervous system. Neurodegenerative diseases, vascular causes, metabolic disorders and genetic diseases should be investigated for its etiology. In this paper, a hemiballismus case that developed acutely after thalamic hemorrhage and successfully responded to haloperidol treatment is presented.

Keywords: Hemiballismus, thalamic hemorrhage, hyperkinetic movement disorder.

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