Hernandez Fustes Otto Jesus, Puppi Munhoz Renato, Arteaga Rodriguez Carlos, Hernandez Fustes Olga Judith
Neurology, Complexo Hospital de Clínicas - Universidade Federal do Paraná (CHC- UFPR), Curitiba, BRA.
Neurology, Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, University of Toronto, Toronto, CAN.
Cureus. 2020 Mar 24;12(3):e7384. doi: 10.7759/cureus.7384.
Cerebrovascular disease (CVD), which usually manifests as a focal neurological deficit, is presented here as a movement disorder. This unusual manifestation corresponds to 1% of the CVDs and 8% of the striatal lesions. We report a 37-year-old right-handed woman who developed choreic movements as the first manifestation of an acute stroke. The computed tomography (CT) scan revealed a cortical/subcortical hypodense lesion in the right middle cerebral artery territory. This picture slowly improved and remitted completely after six weeks. Basal ganglia infarcts are crucial for the development of hemichorea, however, in spite of its frequency, movement disorders are disproportionally rare. In the majority of cases, the prognosis is good with spontaneous remission after two to four weeks.
脑血管疾病（CVD）通常表现为局灶性神经功能缺损，在此表现为运动障碍。这种不寻常的表现占CVD的1%，纹状体病变的8%。我们报告一名37岁右利手女性，其以舞蹈样动作作为急性中风的首发表现。计算机断层扫描（CT）显示右侧大脑中动脉供血区皮质/皮质下低密度病变。这种情况逐渐改善，并在六周后完全缓解。基底节梗死是偏侧舞蹈症发展的关键，然而，尽管其发病率较高，但运动障碍却异常罕见。在大多数情况下，预后良好，两到四周后可自发缓解。
