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

[31] Acute Ischemic Stroke in Tubercular Meningitis Patients Without Conventional Vascular Risk Factors: A Retrospective Case Control Study
Tang, Shiting
Liu, Liuyu
Xie, Zhouhua
He, Yaoqin
Zhang, Yunli
Xie, Yiju
Chen, Shijian
Liu, Yayuan
Wei, Yunfei
Liang, Zhijian
JOURNAL OF INFLAMMATION RESEARCH, 2022, 15 : 6617 - 6627
[32] Correlation of Lactate Concentration in Peripheral Plasma and Cerebrospinal Fluid with Glasgow Outcome Scale for Patients with Tuberculous Meningitis Complicated by Acute Hydrocephalus Treated with Fluid Diversions
Faried, Ahmad
Arief, Gusman
Arifin, Muhammad Z.
Nataprawira, Heda M.
WORLD NEUROSURGERY, 2018, 111 : E171 - E175
[33] Chlamydia pneumoniae, Mycoplasma pneumoniae, and Legionella pneumophila in elderly patients with stroke (C-PEPS, M-PEPS, L-PEPS) -: A case-control study on the infectious burden of atypical respiratory pathogens in elderly patients with acute cerebrovascular disease
Ngeh, J
Goodbourn, C
STROKE, 2005, 36 (02) : 259 - 263

← 1 2 3 4 →