Hemichorea resulting from single enhancing computed tomography lesion.
A single small enhancing computerized tomographic lesion is a common finding in Indian patients with seizures, particularly focal seizures. A small single enhancing computed tomography lesion also presents with varied non-epileptic manifestations viz. focal neurological deficits, episodic vascular headache, syndrome of increased intracranial pressure, etc. Here we present a case of hemichorea resulting from single enhancing CT lesion. A 12-year-old female presented with acute onset abnormal movements involving right side of body. A clinical diagnosis of right hemichorea was made and patient was subjected to neuroimaging along with other investigations. CT scan showed a single ring-enhancing lesion with perifocal edema in left thalamic area suggestive of neurocysticercosis. Patient was treated with albendazole, steroids and haloperidol therapy. Patient showed marked improvement at follow-up after one month. Repeat CT scan revealed resolution of lesion. This case has been reported because hemichorea in young female is usually caused by post-streptococcal infection and it is quite rare presentation of small ring enhancing lesion.
Verma
R
R
Department of Neurology, KG Medical University, Lucknow 226 003.
Agarwal
A
A
Kar
A M
AM
D015766:Albendazole / Q000627:therapeutic use; D018726:Anti-Dyskinesia Agents / Q000627:therapeutic use; D000923:Anticestodal Agents / Q000627:therapeutic use; D002648:Child; D002819:Chorea / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D020820:Dyskinesias / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D020019:Neurocysticercosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D011856:Radiographic Image Enhancement; D013788:Thalamus / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D018726:Anti-Dyskinesia Agents; D000923:Anticestodal Agents; D015766:Albendazole; D006220:Haloperidol