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Atlas of Neurology—A Case-based Approach
by Satish V Khadilkar, Kalyan B BhattacharyyaThe first patient sustained thrombotic stroke in the right caudate nucleus and developed this violent flinging movements of the left side of the body including the face. Other causes of hemiballismus include non-ketotic hyperglycemia, trauma, neoplasms, HIV infection, and infective granulomas. The patient was treated with incremental dosage of tetrabenazine and after 2 weeks of therapy there was considerable improvement, through she developed Parkinsonian features as a complication of dopamine depletion. The male subject presented with similar movements in the left lower limb and the CT scan showed an acute infarct in the right caudate nucleus.
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