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Hemichorea as Presentation of Acute Cortical Ischemic Stroke. Case Series and Review of the Literature.


ABSTRACT: Hemichorea and other hyperkinetic movement disorders are a rare presentation of stroke, usually secondary to deep infarctions affecting the basal ganglia and the thalamus. Chorea can also result from lesions limited to the cortex, as shown in recent reports. Still, the pathophysiology of this form of cortical stroke-related chorea remains unknown. We report 4 cases of acute ischemic cortical strokes presenting as hemichorea, with the infarction being limited to the parietal and insular cortex in perfusion computed tomography scans and magnetic resonance imaging. These cases suggest potential dysfunction of pathways connecting these cortical regions with the basal ganglia.

SUBMITTER: Carbayo A 

PROVIDER: S-EPMC7384777 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Hemichorea as Presentation of Acute Cortical Ischemic Stroke. Case Series and Review of the Literature.

Carbayo Álvaro Á   Sarto Jordi J   Santana Daniel D   Compta Yaroslau Y   Urra Xabier X  

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association 20200727 10


Hemichorea and other hyperkinetic movement disorders are a rare presentation of stroke, usually secondary to deep infarctions affecting the basal ganglia and the thalamus. Chorea can also result from lesions limited to the cortex, as shown in recent reports. Still, the pathophysiology of this form of cortical stroke-related chorea remains unknown. We report 4 cases of acute ischemic cortical strokes presenting as hemichorea, with the infarction being limited to the parietal and insular cortex in  ...[more]

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