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KMID : 0359719960140041072
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Journal of the Korean Neurological Association
1996 Volume.14 No. 4 p.1072 ~ p.1075
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Biballism Presenting with Unilateral Basal Ganglia Lacunar Infarction in the Diabetic Patient
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Abstract
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Biballism is an infrequent hyperkinetic disorder characterized by always ceaseless, repetitive, complex, violent involuntary movement involving proximal muscles. Biballism is classically ascribed to ischemic stroke in the subthalamic nucleus or
its
connection but other causes (infection , toxin, systemic disease) have been reported. Potential pathogenic mechanism include relative dopaminergic hypersensitivity associated with basal ganglia lesion, impaired synthesis of acetylcholine or
aminobutyric
acid or undefined effect of hyperosmolarity. We report a case of biballism occurred due to a infarction of left basal ganglia and nonketotic hyperglycemia.
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KEYWORD
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