Hemiballism a Case Report and Literature Review

Claudio Ernesto Muñiz Landeros; Adriana Carlota Cantú Salinas; Ezequiel Enrique Paypa Jabre; Claudio Ernesto Muñiz Rodríguez; Mariana Sánchez Murillo

doi:doi:10.11648/j.reports.20210103.11

Hemiballism a Case Report and Literature Review

Claudio Ernesto Muñiz Landeros, Adriana Carlota Cantú Salinas, Ezequiel Enrique Paypa Jabre, Claudio Ernesto Muñiz Rodríguez, Mariana Sánchez Murillo

Published in Reports (Volume 1, Issue 3)

Received: 20 April 2021 Accepted: 8 May 2021 Published: 5 November 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

The term ballism derives from the Greek word ballistēs which translates as "throw". Ballism is one of the abnormal movements reported in the medical literature, characterized by the involuntary, non-purposeful action of a limb, in a repetitive, sudden, centrifugal way, and when it affects the upper and lower limbs together ipsilaterally in a patient is called hemiballism, this neurological manifestation is part of the so-called abnormal hyperkinetic movements. The objective of our report is to present the clinical picture of a patient with hemiballism who jointly presents cerebrovascular alterations and the use of dopaminergic drugs. He is a male of 79 years old, with a history of chronic degenerative diseases such as, systemic hypertension, diabetes mellitus type II, cerebrovascular disease, hyperlipidemia, vascular cognitive deficit and apparently Parkinson's disease, which presented abnormal movements of sudden onset, of insidious progression, to the left side of the uncoordinated type, abrupt, thick, centrifugal, causing disability in their bodily functioning and deteriorating their quality of life. This picture began after the increase in the medicines used for the diagnosis of Parkinson's disease. The diagnosis of Hemiballism was established and medical treatment based on Haloperidol and reduction of the antiparkinsonic drug was provided, showing an important improvement evidenced in the attached video. A review of the anatomical, histological, physiological and pathophysiological aspects related to this type of pathology is made emphasizing the relationship of the direct and indirect pathways of the extrapyramidal system used for the modulation of the corporal movement by the primary motor system.

Published in	Reports (Volume 1, Issue 3)
DOI	10.11648/j.reports.20210103.11
Page(s)	14-23
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Hemiballism, Basal Ganglia, Abnormal Movements

References

[1]	William W. Campbell, MD. Chapter 26. The Extrapyramidal Level. The Neurologic Examination DeJong’s 7th edition. 2013. Ed Lippincott Williams & Wilkins, a Wolters Kluwer. pp 399-409.
[2]	Ruth H. Walker, M. B., Ch. B., Ph.D. and C. Warren Olanow, M. D., FRCP. Anatomy and Functional Models of the Basal Ganglia. Seminars in Neurosurgery, Vol. 12, No. 2, 2001: 149-159.
[3]	Postuma RB, Lang AE. Hemiballism: revisiting a classic disorder. Lancet Neurol 2003; 2: 661–668.
[4]	F. Ghika-Schmid, J. Ghika, F. Regli, J. Bogousslavsky. Hyperkinetic movement disorders during and after acute stroke: The Lausanne Stroke Registry. Journal of the Neurological Sciences 146 (1997): 109-116.
[5]	Richard B. Dewey, Jr, Joseph Jankovic, MD. Hemiballism-Hemichorea. Clinical and Pharmacologic Findings in 21 Patients. Archives of Neurology, Vol 46. August 1989: 862-867.
[6]	Dorland WA, ed. Dorlands Illustrated Medical Dictionary. 30th ed. Philadelphia, Pa: WB Saunders; 2003.
[7]	Berman SA. Chorea. Joseph AB, Young RR, eds. Movement Disorders in Neurology and Neuropsychiatry. 2nd ed. Malden, Mass: Blackwell Science; 1999. 481-94.
[8]	Dewey RB Jr, Jankovic J. Hemiballism-hemichorea. Clinical and pharmacologic findings in 21 patients. Arch Neurol. 1989 Aug. 46 (8): 862-7.
[9]	Dubinsky RM, Greenberg M, Di Chiro G, et al. Hemiballismus: study of a case using positron emission tomography with 18fluoro-2-deoxyglucose. Mov Disord. 1989. 4 (4): 310-9.
[10]	Fukui T, Hasegawa Y, Seriyama S, et al. Hemiballism-hemichorea induced by subcortical ischemia. Can J Neurol Sci. 1993 Nov. 20 (4): 324-8.
[11]	Glass JP, Jankovic J, Borit A. Hemiballism and metastatic brain tumor. Neurology. 1984 Feb. 34 (2): 204-7.
[12]	Sanchez-Ramos JR, Factor SA, Weiner WJ, Marquez J. Hemichorea-hemiballismus associated with acquired immune deficiency syndrome and cerebral toxoplasmosis. Mov Disord. 1989. 4 (3): 266-73.
[13]	Vidakovic A, Dragasevic N, Kostic VS. Hemiballism: report of 25 cases. J Neurol Neurosurg Psychiatry. 1994 Aug. 57 (8): 945-9.
[14]	Klawans HL. Chorea. Can J Neurol Sci. 1987 Aug. 14 (3 Suppl): 536-40.
[15]	Evidente VG, Gwinn-Hardy K, Caviness JN, Alder CH. Risperidone is effective in severe hemichorea/hemiballismus. Mov Disord. 1999 Mar. 14 (2): 377-9.
[16]	Joseph Jankovic MD. Treatment of hyperkinetic movement disorders. Lancet Neurol. Sep 2009; vol 8: 844–56.
[17]	Leavitt BR, Hayden MR. Is tetrabenazine safe and effective for suppressing chorea in Huntingtons disease? Nat Clin Pract Neurol. 2006 Oct. 2 (10): 536-7.
[18]	Savani AA, Login IS. Tetrabenazine as antichorea therapy in Huntington disease: a randomized controlled trial. Neurology. 2007 Mar 6. 68 (10): 797.
[19]	Grove VE Jr, Quintanilla J, DeVaney GT. Improvement of Huntingtons disease with olanzapine and valproate. N Engl J Med. 2000 Sep 28. 343 (13): 973-4.

Cite This Article

Plain Text BibTeX RIS

APA Style

Claudio Ernesto Muñiz Landeros, Adriana Carlota Cantú Salinas, Ezequiel Enrique Paypa Jabre, Claudio Ernesto Muñiz Rodríguez, Mariana Sánchez Murillo. (2021). Hemiballism a Case Report and Literature Review. Reports, 1(3), 14-23. https://doi.org/10.11648/j.reports.20210103.11

Copy | Download

ACS Style

Claudio Ernesto Muñiz Landeros; Adriana Carlota Cantú Salinas; Ezequiel Enrique Paypa Jabre; Claudio Ernesto Muñiz Rodríguez; Mariana Sánchez Murillo. Hemiballism a Case Report and Literature Review. Reports. 2021, 1(3), 14-23. doi: 10.11648/j.reports.20210103.11

Copy | Download

AMA Style

Claudio Ernesto Muñiz Landeros, Adriana Carlota Cantú Salinas, Ezequiel Enrique Paypa Jabre, Claudio Ernesto Muñiz Rodríguez, Mariana Sánchez Murillo. Hemiballism a Case Report and Literature Review. Reports. 2021;1(3):14-23. doi: 10.11648/j.reports.20210103.11

Copy | Download

@article{10.11648/j.reports.20210103.11,
  author = {Claudio Ernesto Muñiz Landeros and Adriana Carlota Cantú Salinas and Ezequiel Enrique Paypa Jabre and Claudio Ernesto Muñiz Rodríguez and Mariana Sánchez Murillo},
  title = {Hemiballism a Case Report and Literature Review},
  journal = {Reports},
  volume = {1},
  number = {3},
  pages = {14-23},
  doi = {10.11648/j.reports.20210103.11},
  url = {https://doi.org/10.11648/j.reports.20210103.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.reports.20210103.11},
  abstract = {The term ballism derives from the Greek word ballistēs which translates as "throw". Ballism is one of the abnormal movements reported in the medical literature, characterized by the involuntary, non-purposeful action of a limb, in a repetitive, sudden, centrifugal way, and when it affects the upper and lower limbs together ipsilaterally in a patient is called hemiballism, this neurological manifestation is part of the so-called abnormal hyperkinetic movements. The objective of our report is to present the clinical picture of a patient with hemiballism who jointly presents cerebrovascular alterations and the use of dopaminergic drugs. He is a male of 79 years old, with a history of chronic degenerative diseases such as, systemic hypertension, diabetes mellitus type II, cerebrovascular disease, hyperlipidemia, vascular cognitive deficit and apparently Parkinson's disease, which presented abnormal movements of sudden onset, of insidious progression, to the left side of the uncoordinated type, abrupt, thick, centrifugal, causing disability in their bodily functioning and deteriorating their quality of life. This picture began after the increase in the medicines used for the diagnosis of Parkinson's disease. The diagnosis of Hemiballism was established and medical treatment based on Haloperidol and reduction of the antiparkinsonic drug was provided, showing an important improvement evidenced in the attached video. A review of the anatomical, histological, physiological and pathophysiological aspects related to this type of pathology is made emphasizing the relationship of the direct and indirect pathways of the extrapyramidal system used for the modulation of the corporal movement by the primary motor system.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Hemiballism a Case Report and Literature Review
AU  - Claudio Ernesto Muñiz Landeros
AU  - Adriana Carlota Cantú Salinas
AU  - Ezequiel Enrique Paypa Jabre
AU  - Claudio Ernesto Muñiz Rodríguez
AU  - Mariana Sánchez Murillo
Y1  - 2021/11/05
PY  - 2021
N1  - https://doi.org/10.11648/j.reports.20210103.11
DO  - 10.11648/j.reports.20210103.11
T2  - Reports
JF  - Reports
JO  - Reports
SP  - 14
EP  - 23
PB  - Science Publishing Group
SN  - 2994-7146
UR  - https://doi.org/10.11648/j.reports.20210103.11
AB  - The term ballism derives from the Greek word ballistēs which translates as "throw". Ballism is one of the abnormal movements reported in the medical literature, characterized by the involuntary, non-purposeful action of a limb, in a repetitive, sudden, centrifugal way, and when it affects the upper and lower limbs together ipsilaterally in a patient is called hemiballism, this neurological manifestation is part of the so-called abnormal hyperkinetic movements. The objective of our report is to present the clinical picture of a patient with hemiballism who jointly presents cerebrovascular alterations and the use of dopaminergic drugs. He is a male of 79 years old, with a history of chronic degenerative diseases such as, systemic hypertension, diabetes mellitus type II, cerebrovascular disease, hyperlipidemia, vascular cognitive deficit and apparently Parkinson's disease, which presented abnormal movements of sudden onset, of insidious progression, to the left side of the uncoordinated type, abrupt, thick, centrifugal, causing disability in their bodily functioning and deteriorating their quality of life. This picture began after the increase in the medicines used for the diagnosis of Parkinson's disease. The diagnosis of Hemiballism was established and medical treatment based on Haloperidol and reduction of the antiparkinsonic drug was provided, showing an important improvement evidenced in the attached video. A review of the anatomical, histological, physiological and pathophysiological aspects related to this type of pathology is made emphasizing the relationship of the direct and indirect pathways of the extrapyramidal system used for the modulation of the corporal movement by the primary motor system.
VL  - 1
IS  - 3
ER  -

Copy | Download

Author Information

Claudio Ernesto Muñiz Landeros
Adriana Carlota Cantú Salinas

Neurology Service, University Hospital “Dr, José Eleuterio Gonzalez”, School of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico
Ezequiel Enrique Paypa Jabre

Introduction to the Clinic Department, School of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico
Claudio Ernesto Muñiz Rodríguez
Mariana Sánchez Murillo

Pediatrics Department, University Hospital “Dr, José Eleuterio Gonzalez”, School of Medicine, Autonomous University of Nuevo León, Monterrey, Mexico

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Claudio Ernesto Muñiz Landeros, Adriana Carlota Cantú Salinas, Ezequiel Enrique Paypa Jabre, Claudio Ernesto Muñiz Rodríguez, Mariana Sánchez Murillo. (2021). Hemiballism a Case Report and Literature Review. Reports, 1(3), 14-23. https://doi.org/10.11648/j.reports.20210103.11

Copy | Download

ACS Style

Claudio Ernesto Muñiz Landeros; Adriana Carlota Cantú Salinas; Ezequiel Enrique Paypa Jabre; Claudio Ernesto Muñiz Rodríguez; Mariana Sánchez Murillo. Hemiballism a Case Report and Literature Review. Reports. 2021, 1(3), 14-23. doi: 10.11648/j.reports.20210103.11

Copy | Download

AMA Style

Claudio Ernesto Muñiz Landeros, Adriana Carlota Cantú Salinas, Ezequiel Enrique Paypa Jabre, Claudio Ernesto Muñiz Rodríguez, Mariana Sánchez Murillo. Hemiballism a Case Report and Literature Review. Reports. 2021;1(3):14-23. doi: 10.11648/j.reports.20210103.11

Copy | Download

@article{10.11648/j.reports.20210103.11,
  author = {Claudio Ernesto Muñiz Landeros and Adriana Carlota Cantú Salinas and Ezequiel Enrique Paypa Jabre and Claudio Ernesto Muñiz Rodríguez and Mariana Sánchez Murillo},
  title = {Hemiballism a Case Report and Literature Review},
  journal = {Reports},
  volume = {1},
  number = {3},
  pages = {14-23},
  doi = {10.11648/j.reports.20210103.11},
  url = {https://doi.org/10.11648/j.reports.20210103.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.reports.20210103.11},
  abstract = {The term ballism derives from the Greek word ballistēs which translates as "throw". Ballism is one of the abnormal movements reported in the medical literature, characterized by the involuntary, non-purposeful action of a limb, in a repetitive, sudden, centrifugal way, and when it affects the upper and lower limbs together ipsilaterally in a patient is called hemiballism, this neurological manifestation is part of the so-called abnormal hyperkinetic movements. The objective of our report is to present the clinical picture of a patient with hemiballism who jointly presents cerebrovascular alterations and the use of dopaminergic drugs. He is a male of 79 years old, with a history of chronic degenerative diseases such as, systemic hypertension, diabetes mellitus type II, cerebrovascular disease, hyperlipidemia, vascular cognitive deficit and apparently Parkinson's disease, which presented abnormal movements of sudden onset, of insidious progression, to the left side of the uncoordinated type, abrupt, thick, centrifugal, causing disability in their bodily functioning and deteriorating their quality of life. This picture began after the increase in the medicines used for the diagnosis of Parkinson's disease. The diagnosis of Hemiballism was established and medical treatment based on Haloperidol and reduction of the antiparkinsonic drug was provided, showing an important improvement evidenced in the attached video. A review of the anatomical, histological, physiological and pathophysiological aspects related to this type of pathology is made emphasizing the relationship of the direct and indirect pathways of the extrapyramidal system used for the modulation of the corporal movement by the primary motor system.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Hemiballism a Case Report and Literature Review
AU  - Claudio Ernesto Muñiz Landeros
AU  - Adriana Carlota Cantú Salinas
AU  - Ezequiel Enrique Paypa Jabre
AU  - Claudio Ernesto Muñiz Rodríguez
AU  - Mariana Sánchez Murillo
Y1  - 2021/11/05
PY  - 2021
N1  - https://doi.org/10.11648/j.reports.20210103.11
DO  - 10.11648/j.reports.20210103.11
T2  - Reports
JF  - Reports
JO  - Reports
SP  - 14
EP  - 23
PB  - Science Publishing Group
SN  - 2994-7146
UR  - https://doi.org/10.11648/j.reports.20210103.11
AB  - The term ballism derives from the Greek word ballistēs which translates as "throw". Ballism is one of the abnormal movements reported in the medical literature, characterized by the involuntary, non-purposeful action of a limb, in a repetitive, sudden, centrifugal way, and when it affects the upper and lower limbs together ipsilaterally in a patient is called hemiballism, this neurological manifestation is part of the so-called abnormal hyperkinetic movements. The objective of our report is to present the clinical picture of a patient with hemiballism who jointly presents cerebrovascular alterations and the use of dopaminergic drugs. He is a male of 79 years old, with a history of chronic degenerative diseases such as, systemic hypertension, diabetes mellitus type II, cerebrovascular disease, hyperlipidemia, vascular cognitive deficit and apparently Parkinson's disease, which presented abnormal movements of sudden onset, of insidious progression, to the left side of the uncoordinated type, abrupt, thick, centrifugal, causing disability in their bodily functioning and deteriorating their quality of life. This picture began after the increase in the medicines used for the diagnosis of Parkinson's disease. The diagnosis of Hemiballism was established and medical treatment based on Haloperidol and reduction of the antiparkinsonic drug was provided, showing an important improvement evidenced in the attached video. A review of the anatomical, histological, physiological and pathophysiological aspects related to this type of pathology is made emphasizing the relationship of the direct and indirect pathways of the extrapyramidal system used for the modulation of the corporal movement by the primary motor system.
VL  - 1
IS  - 3
ER  -

Copy | Download