Hemiballismus-hemichorea syndrome in an acute rehabilitation setting: two case reports.

Autor: Tsai, Luke, Shekhtman, Benjamin, Stenquist, Ryan, Schneider, Ashley, Mapa, Meilani, Amirianfar, Edwin, Gater, David R.
Zdroj: Journal of Medical Case Reports; 10/31/2022, Vol. 16 Issue 1, p1-5, 5p
Abstrakt: Background: We report two similar cases of patients diagnosed with hemiballismus-hemichorea syndrome secondary to uncontrolled hyperglycemia. Both patients were treated at an inpatient rehabilitation center and made a significant recovery in both function and activities of daily living. Although hemiballismus-hemichorea syndrome has known pharmacological treatments, little has been reported on the effectiveness of acute rehabilitation on managing and treating this syndrome.Case Presentation: The first case involves a 44-year-old Hispanic male with past medical history of type 2 diabetes mellitus, hypertension, anxiety, and depression who presented with continuous, uncontrollable, unilateral movements 1 month following a hospital admission for hyperglycemia. Magnetic resonance imaging findings showed lesions in the basal ganglia, confirming the diagnosis of hemiballismus-hemichorea syndrome. The patient was started on antipsychotic medications and antihyperglycemic medications controlling glucose levels, but continued to have hemiballismus symptoms. The second case involves a 78-year-old Haitian female with past medical history of type 2 diabetes mellitus and hypertension who presented with weakness and continuous, involuntary movements in her upper and lower extremities 1 month following a hospital admission for hyperglycemia and encephalopathy. Magnetic resonance imaging findings were positive for bilateral lesions in the basal ganglia, establishing a diagnosis of hemiballismus-hemichorea syndrome. After a 2-week stay at an acute rehabilitation center, both patients made a significant recovery in function and activities of daily living.Conclusion: The aim in presenting these cases is to elucidate the etiology and progression of a rare disease process known as hemiballismus-hemichorea syndrome and to provide evidence for the potential positive impact of acute rehabilitation on patients with unresolved hemiballismus-hemichorea following an episode of hyperglycemia. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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