Jamir Pitton Rissardo Profile picture
Oct 15, 2022 25 tweets 12 min read Read on X
Movement Disorders - Ballism

“chorea that affects proximal joints such as shoulder or hip” Mov Disord Society, 2011

- Freq causes: vascular and metabolic

- Good response to antipsychotics, usually self-limiting

#MedTwitter #neurotwitter #EndNeurophobia #movementdisorder

1/ Image
First report

In 1927 James Purdon Martin
Hemichorea resulting from a local lesion of the brain

doi.org/10.1093/brain/…

2/ Image
Hemichorea-hemiballismus: nonketotic hyperglycemia

doi.org/10.1212/WNL.0b… via: Neurology

3/
Hemiballismus: parietal lobe infarction

doi.org/10.7759/cureus… via: Cureus

4/
Hemichorea-hemiballismus: nonketotic hyperglycemia

doi.org/10.14802%2Fjmd… via: Journal of Movement Disorders

5/
Hemiballismus: Lacunar infarct in the right centrum semiovale

doi.org/10.4103%2Faian… via: Annals of Indian Academy of Neurology

6/
Bilateral chorea–ballism: hyperthyroidism

doi.org/10.1002/mds.20… via: Movement Disorders

7/
Hemichorea-hemiballismus: vaccine-Induced

doi.org/10.5334%2Ftohm… via: Tremor and Other Hyperkinetic Movements

8/
Hemichorea-hemiballismus: nonketotic hyperglycemia

doi.org/10.1002/mds.21… via: Movement Disorders

9/
Hemichorea-hemiballismus: nonketotic hyperglycemia

doi.org/10.14802%2Fjmd… via: Journal of Movement Disorders

10/
Bilateral ballism: herpes encephalitis with thalamic lesion

doi.org/10.1016/j.park… via: Parkinsonism & Related Disorders

11/
Hemichorea-hemiballismus: cryptococcal Meningitis

doi.org/10.7759/cureus… via: Cureus

12/
Hemichorea-hemiballismus: nonketotic hyperglycemia

doi.org/10.1007/s10072… via: Neurological Sciences

13/
Hemichorea-hemiballismus: intracranial toxoplasmosis and tuberculosis

doi.org/10.5334%2Ftohm… via: Tremor and Other Hyperkinetic Movements

14/
Bilateral chorea-ballism: after cardiac arrest

doi.org/10.1212/wnl.64… via: Neurology

15/
Bilateral ballism: limb-shaking transient ischemic attacks

doi.org/10.1016/j.jstr… via: Journal of Stroke and Cerebrovascular Diseases

16/
Hemiballismus: insular and temporal lobe infarct

doi.org/10.1001/jamane… via: JAMA Neurology

17/
Bilateral ballism: fever-induced

doi.org/10.1002/mds.21… via: Movement Disorders

18/
Hemichorea-hemiballism: after external ventricular drainage

doi.org/10.14802%2Fjmd… via: Journal of Movement Disorders

19/
Hemichorea-hemiballismus: diabetic ketoacidosis

doi.org/10.1016%2Fj.ds… via: Diabetes Metab Syndr

20/
Hemichorea‐hemiballism: CNS tuberculosis

doi.org/10.1002%2Fmdc3… via: Mov Disord Clin Pract

21/
Hemiballismus: anti-Yo

doi.org/10.1016/j.jocn… via: Journal of Clinical Neuroscience

22/
Hemichorea-hemiballismus: after clipping MCA aneurysm

doi.org/10.4103%2F2152… via: Surg Neurol Int

23/
Hemichorea-hemiballism: postoperative stroke

doi.org/10.7916%2FD8C5… via: Tremor and Other Hyperkinetic Movements

24/
Hemichorea-hemiballism: Nonketotic Hyperglycemia

doi.org/10.7916%2FD8QZ… via: Tremor and Other Hyperkinetic Movements

25/

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More from @theneurolander

Aug 23
Pourfour du Petit Syndrome
The reverse Horner syndrome!

François Pourfour du Petit (1664–1741)
- 1st to describe

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/ Image
Definition

“ipsilateral mydriasis, hyperhidrosis, and eyelid retraction”

2/
Pathophysiology

oculosympathetic chain irritation causing the clinical signs of hyperactivity of the sympathetic pathway

- causes are the same as those for Horner syndrome

3/
Read 12 tweets
Aug 17
Apraxia!
The disorder of motor cognition

Hugo Karl Liepmann (1863 - 1925)

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/ Image
Definition

“Inability to perform a higher motor task”

It can’t be explained by weakness, sensory loss, or lack understanding

2/
Apraxia assessment

Pantomime
Meaningful hand gestures
Buccofacial apraxia
Meaningless hand gesture
Luria 3-steps task

*Describe the body part and the impaired movement
*Consider mistake, if persist after correction

3/ Image
Read 36 tweets
Jul 28
House of Words: Aphasias!

Armand Trousseau (1801 – 1867)
French internist

1/ Image
History

Late 18th, Gall
- speech function localized frontal lobes

Dax, 1986
- aphasia & L hemisphere

Broca, 1861
- lesion L inferior frontal convolution

Trousseau, 1862
- coined aphasia term

Wernicke, 1864
- speech comprehension

Lichtheim, 1885
- subcortical aphasia

2/ Image
Definition

“disorder of language, including impairment in ability to produce, understand, and repeat speech, as well as defects in the ability to read and write.”

*deficit affecting only speech is usually dysarthria

3/ Image
Read 25 tweets
Jan 26, 2023
Diencephalon location
- around the 3rd ventricle

The cavity of the diencephalon is ----- the 3rd ventricle
All of the structures of the diencephalon are around the 3rd ventricle, so the cavity of the diencephalon is the 3rd ventricle.

2/
Diencephalon embryology

- prosencephalon

3/ Image
Read 36 tweets
Jan 12, 2023
The Examination in Coma

“the father of modern neurological surgery”

American neurosurgeon Harvey Williams Cushing (1869–1939)

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/ Image
Definition

“a state of unarousable unresponsiveness”

Parts
a. level of consciousness
b. vital signs (BP & breathing pattern)
c. cranial nerves (fundoscopy + vision + brainstem)
d. motor & sensory
e. reflex
f. meningeal signs

2/
Level of consciousness

Normal
Clouding of consciousness
Confusion/delirium
Lethargy
Obtundation
Stupor
Coma

3/ Image
Read 30 tweets
Dec 26, 2022
Drifts!!!

French neurologist Jean Alexandre Barré (1880–1967)

#MedTwitter #neurotwitter #EndNeurophobia #tweetorials

1/
The four types of drift

“pronator, cerebellar, parietal, and functional”

- pronator drift (pyramidal drift) was the 1st to be described
- Dr. Barre was the 1st to report it

2/
Pronator drift (Barre’s sign)

progress from distal to proximal

1st downward arm drift
2nd forearm pronation
3rd flexion of the wrist and elbow

3/
Read 18 tweets

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