Zuccarelli Britton, Aalbers Brian, Grabb Paul
Children's Mercy, Division of Child Neurology, 2401 Gillham Road, Kansas City, MO 64108, USA.
Children's Mercy, Division of Child Neurology, 2401 Gillham Road, Kansas City, MO 64108, USA.
J Clin Neurosci. 2016 Aug;30:129-131. doi: 10.1016/j.jocn.2016.01.031. Epub 2016 Mar 7.
We report an unusual case of delayed bilateral, right greater than left hemiballismus in a 15-year-old female patient with a history of a craniopharyngioma 2years following the insertion of a right intratumoral chemotherapy catheter. Following cyst decompression, the catheter was found to have changed position, traversing the basal ganglia structures, namely the right subthalamic nucleus. Her movement disorder near-completely resolved immediately following removal of the catheter. A review of the current literature and proposed pathophysiological mechanisms are discussed.
我们报告了一例不寻常的病例，一名15岁女性患者，有颅咽管瘤病史，在右侧瘤内化疗导管插入2年后出现延迟性双侧偏身投掷症，右侧重于左侧。囊肿减压后，发现导管位置改变，穿过基底节结构，即右侧丘脑底核。导管移除后，她的运动障碍几乎立即完全缓解。本文讨论了当前文献回顾及提出的病理生理机制。
