Hemichorea due to hemodynamic ischemia associated with extracranial carotid artery stenosis. Report of two cases.

Abstract:

:In this paper the authors describe two patients with recurrent hemiparesis and limb shaking that gradually progressed to hemichorea. Cerebral angiography confirmed severe unilateral internal carotid artery stenosis (95%) contralateral to the hemichorea. The cerebral blood flow, assessed using N-isopropyl-p-(iodine-123) iodoamphetamine single-photon emission computed tomography (SPECT), disclosed markedly decreased vascular reserves in both patients. After carotid endarterectomy was performed, the hemichorea gradually subsided and SPECT confirmed increased cerebral perfusion. The results in these cases indicate that surgical revascularization is effective for hemichorea due to cerebral ischemia with reduced vascular reserve.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Morigaki R,Uno M,Suzue A,Nagahiro S

doi

10.3171/jns.2006.105.1.142

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

142-7

issue

1

eissn

0022-3085

issn

1933-0693

journal_volume

105

pub_type

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