Hemichorea reversible after operation in a boy with cavernous angioma in the head of the caudate nucleus.

Carpay, Hans A.; Arts, W.F.M.; Kloet, Alfred; Hoogland, P. H.; Duinen, Sjoerd G. van

doi:10.1136/jnnp.57.12.1547

Cited by 21 publications

(21 citation statements)

References 8 publications

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“…The third case benefited from surgical treatment (4). The other two cases were 7 and 11 years old; one case benefited from pimozide treatment, and the other from surgical treatment (5,7). The clinical picture in all five cases was described as hemichorea.…”

Section: Discussionmentioning

confidence: 90%

“…Movement disorders due to cavernomas are quite rare (12). Among these are cases of hemichorea localized in the caudate nucleus (4,5,6,7,8), a case of chorea resulting from a cavernoma localized in the putamen (3), cases of cavernoma causing dystonia (13,14,15,16,17) and cases of parkinsonism caused by cavernomas (18,19,20,21). Cases of cavernoma causing chorea are rare and lesion is usually localized in the caudate nucleus (4,5,6,7,8).…”

Section: Discussionmentioning

confidence: 99%

“…Unilateral chorea is known as hemichorea and is usually associated with vascular causes, including cerebral infarctions, arteriovenous malformations and subdural hematomas (2). Cavernomas rarely cause chorea and there are fairly few cases reported in the literature (3,4,5,6,7,8). Here we discuss a case of intracerebral cavernoma identified as a result of investigations in a case of chorea where the initial clinical picture of hemichorea later transformed to limited chorea of unilateral lower extremity.…”

Section: Introductionmentioning

confidence: 93%

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İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

Barut¹,

Demiryürek²,

Türksoy³

2013

tnd

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Sum maryAlthough vascular factors are considered primarily in the etiology of hemichorea among the elderly, chorea related to congenital vascular malformations including cavernous angioma are reported very rarely. We found cavernous angioma to be the cause of persistant, unilateral chorea localized to the right lower extremity in a 83 year-old woman. In this article we would like to highlight the etiology of chorea in patients with late onset movement disorders.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

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İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

Barut¹,

Demiryürek²,

Türksoy³

2013

tnd

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show abstract

“…4,6,13 Often grouped with brainstem CMs as deep lesions, 11,13 basal ganglia CMs have their own set of unique presenting signs, 3,5,14,15 accompanying management decisions, and surgical approaches. 4,6 As such, they are more suitable for separate analysis, although their rarity, particularly in children, often precludes doing so.…”

confidence: 99%

“…3,5,6,14,15 Although CM location has not been demonstrated to be a consistent, significant risk factor for hemorrhage, 7,9,12 Porter et al 11 demonstrated that deep CMs are more likely to be clinically aggressive, probably because of the surrounding eloquent tissue and the resultant increased sensitivity of adjacent brain parenchyma to small changes in lesion size. A recent review reported an annual hemorrhage rate of 2.8%-4.1% for CMs of the basal ganglia; 6 however, differentiating asymp tomatic from symptomatic lesions is crucial because the latter seem to be more aggressive.…”

Section: Presenting Signs and Natural Historymentioning

confidence: 99%

Cavernous malformations of the basal ganglia in children

Gross¹,

Smith²,

Scott³

2013

PED

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Object Cavernous malformations (CMs) of the basal ganglia are relatively rare lesions that can lead to considerable neurological impairment because of their eloquent location. The authors reviewed the clinical course and surgical outcome of a series of children with basal ganglia CMs. Methods The authors retrospectively reviewed the operative experience of the senior author (R.M.S.) and the 1997–2011 database of Boston Children's Hospital for children with CM of the basal ganglia (which includes CM of the caudate and/or lentiform nucleus and excludes CM of the thalamus). They evaluated baseline demographics, presenting signs, operative outcomes, and condition at long-term follow-up visits and compared these characteristics among patients who underwent surgery and those who were observed. Results Of 180 children with a diagnosis of CM, 11 (6%) had CM of the basal ganglia. The mean age at diagnosis was 9.3 years, and the male/female ratio was 1.8:1. Presenting signs were as follows: hemorrhage (8 children), incidental lesions (2), and seizures (1); 2 children had choreiform movement disorders. Treatment was observation or surgery. Observation was chosen for 5 children either because the lesions were asymptomatic (2 children) or because the risk for neurological dysfunction after attempted excision was believed to be high (3 children). These 5 children were observed over a combined total of 30.4 patient-years; none experienced neurological deterioration or symptomatic hemorrhage from their lesions. The other 6 children underwent microsurgical resection of the lesion because they were symptomatic from hemorrhage or increasing mass effect. All 6 of these children had hemorrhagic lesions, of which the smallest dimension was at least 1.5 cm. Of these 6 lesions, 5 were excised completely, and over a combined total of 46 patient-years of follow-up, no rebleeding or late neurological deterioration after surgery was reported. Conclusions In this patient population, the natural history of small and asymptomatic CMs of the basal ganglia was benign. The children with large (> 1.5 cm) symptomatic lesions underwent excision; neurological impairment was apparently minimal, and no hemorrhage or neurological deterioration occurred later.

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Rubral tremor associated with cavernous angioma of the midbrain

Leung¹,

Fan²,

1999

Mov. Disord.

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Hemichorea reversible after operation in a boy with cavernous angioma in the head of the caudate nucleus.

Cited by 21 publications

References 8 publications

İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

İntraserebral Kavernoma Bağlı Koreiform Hareket Bozukluğu: Olgu Sunumu

Cavernous malformations of the basal ganglia in children

Rubral tremor associated with cavernous angioma of the midbrain

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