Biballism Presenting with Unilateral Basal Ganglia Lacunar Infarction in the Diabetic Patient

J Korean Neurol Assoc > Volume 14(4); 1996 > Article

Journal of the Korean Neurological Association 1996;14(4): 1072-1075.

당뇨병증환자에서 일측 대뇌기저핵 경색증과 함께 발생한 Biballism

한문구, 이상수 한설희

충북대학교 의과대학 신경과학교실

Biballism Presenting with Unilateral Basal Ganglia Lacunar Infarction in the Diabetic Patient

Moon Ku Han, M.D., Sang Soo Lee, M.D., Seol Heul Han, M..

Department of Neurology, College of Medicine, Chungbuk National University

Abstract

Biballism is an infrequent hyperkinetic disorder characterized by always ceaseless, repetitive, complex, violent involuntary movement involving proximal muscles. Biballism is classically ascribed to ischemic stroke in the subthalamic nucleus or its connections but other causes (infection, toxin, systemic disease) have been reported. Potential pathogenic mechanism include relative dopamlnergic hypersensitivity associated with basal ganglia lesion, impaired synthesis of acetylcholine or aminobutyric acid or undefined effect of hyperosmolarity. We report a case of biballism occurred due to a infarction of left basal ganglia and nonketotic hyperglycemia.