Acute Hemichorea-Hemiballismus in Patients with Tuberculous Meningitis: An Atypical Manifestation of Stroke

被引：0

作者：

Garg, Ravindra Kumar ^{[1
]}

Rizvi, Imran ^{[1
]}

Kumar, Neeraj ^{[1
]}

Gupta, Priyanka ^{[1
]}

Tripathi, Pooja ^{[1
]}

Bal, K. P. Arjun ^{[1
]}

Parihar, Anit ^{[2
]}

Malhotra, Hardeep Singh ^{[1
]}

Pandey, Shweta ^{[1
]}

Uniyal, Ravi ^{[1
]}

机构：

[1] King Georges Med Univ, Dept Neurol, Lucknow, Uttar Pradesh, India

[2] King Georges Med Univ, Dept Radiodiag, Lucknow, Uttar Pradesh, India

来源：

NEUROLOGY INDIA | 2025年 / 73卷 / 01期

关键词：

Antituberculosis drugs; central nervous system tuberculosis; disseminated tuberculosis; paradoxical reaction;

D O I：

10.4103/neurol-india.Neurol-India-D-24-00542

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

We report two cases of tuberculosis meningitis patients developing hemichorea-hemiballismus during antituberculosis treatment. First, a 56-year-old woman experienced right-sided hemichorea-hemiballismus 3 months into treatment. MRI scans revealed a left thalamus and subthalamic infarct. After 10 days of continued treatment and corticosteroids, her movements subsided. Second, a 17-year-old female developed hemichorea-hemiballismus while on antituberculosis drugs and corticosteroids. MRI scans displayed ischemic lesions, optochiasmatic arachnoiditis, gyral enhancement, and a small tuberculoma. After shunt surgery and tetrabenazine treatment, she significantly improved and resumed daily activities. In conclusion, hemichorea-hemiballismus may paradoxically occur in tuberculosis meningitis patients, potentially linked to ischemic lesions in the thalamus and subthalamus.

引用

页码：165 / 169

页数：5

共 33 条

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[4] Hemichorea-hemiballismus in patients with non-ketotic hyperglycemia
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[9] Acute Medically Refractory Hemichorea-Hemiballismus Treated by Unilateral Pallidotomy: A Case Report
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[10] Acute Hemichorea-Hemiballismus Following COVID-19 (AZD1222) Vaccination
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