BALLISM, DYSTONIA, TREMOR- MIXED MOVEMENT DISORDER IN THALAMIC STROKE

Dr. Moses P. Moorthy, Prof. R. Lakshmi Narasimhan, Prof. A. v. Srinivasan

Abstract


24 years male presented with involuntary movements of right upper
limb for the past 2 years. Patient was apparently normal 2 years back;
developed sudden onset of involuntary movements of right upper limb
associated with weakness of right upper and lower limb and right side
hemi sensory loss. On examination, patient was conscious afebrile,
involuntary movements in the form of ballism of right upper limb,
dystonia of right side of neck and right upper limb, tremor of right hand
with weakness of right upper and lower limb with power of 4/5, with
decreased all modalities of sensation of the right half of the body; no
cerebellar signs. Routine lab investigations were normal. On
neuroimaging MRI showed chronic infarct in the left thalamus. Patient
was diagnosed to be having BALLISM, DYSTONIA, and TREMORMIXED
MOVEMENT DISORDER due to thalamic stroke.


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