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Published in:

Volume 8 Issue 12
December-2021
eISSN: 2349-5162

UGC and ISSN approved 7.95 impact factor UGC Approved Journal no 63975

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Published Paper ID:
JETIR2112196


Registration ID:
317840

Page Number

b830-b835

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Title

HEMICHOREA-HEMIBALLISMUS AS PRESENTING FEATURE IN ALCOHOL WITHDRAWAL SYNDROME- CASE REPORT

Abstract

Basal ganglia are the main control station of controlling movements and fine tuning the act in co-ordination with motor field, cerebellum and thalamus.When choratic movements or ballistic movement present unilaterally it is called as hemichorea-hemiballismus, non ketotic hyperglycaemic hyperosmolar state is the most common cause of this HCHB syndrome. The syndrome is thought to be rare, however the exact epidemiology depends on the cause of HCHB. The syndrome is thought to be caused by a lesion in the basal ganglia, specifically, the subthalamic nucleus and caudate nucleus. We reported a 58-year-old man with nondiabetes mellitus who presented with chief complaints of involuntary movement of left upper limb and left lower limb which was sudden onset and started about 1 day later when patient stop drinking alcohol, the movement involves both distal and proximal muscle group, distal movements are floating in nature present in wrist elbow and shoulder joint in upper limb, the shoulder joint movements are random jerky type which superimposed on floating movement, the same type of movement involves lt lower limb at ankle knee and hip joint with superimposed random jerky movement at hip joint, these movements are progressive and increased in frequency in 2-4 days. The patient dramatically responded to tetrabenazine within a day. Subsequent dose reductions lead to a reemergence of symptoms. Blood, CSF and radiological investigation were normal hence a diagnosis of transient basal ganglia dysfunction was made which was triggered by alcohol withdrawal.

Key Words

HEMICHOREA-HEMIBALLISMUS AS PRESENTING FEATURE IN ALCOHOL WITHDRAWAL SYNDROME- CASE REPORT

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"HEMICHOREA-HEMIBALLISMUS AS PRESENTING FEATURE IN ALCOHOL WITHDRAWAL SYNDROME- CASE REPORT", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 12, page no.b830-b835, December-2021, Available :http://www.jetir.org/papers/JETIR2112196.pdf

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2349-5162 | Impact Factor 7.95 Calculate by Google Scholar

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 7.95 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Cite This Article

"HEMICHOREA-HEMIBALLISMUS AS PRESENTING FEATURE IN ALCOHOL WITHDRAWAL SYNDROME- CASE REPORT", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 12, page no. ppb830-b835, December-2021, Available at : http://www.jetir.org/papers/JETIR2112196.pdf

Publication Details

Published Paper ID: JETIR2112196
Registration ID: 317840
Published In: Volume 8 | Issue 12 | Year December-2021
DOI (Digital Object Identifier):
Page No: b830-b835
Country: -, -, India .
Area: Engineering
ISSN Number: 2349-5162
Publisher: IJ Publication


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