title: Hemichorea-hemiballismus as an initial manifestation in a Moroccan patient with acquired immunodeficiency syndrome and toxoplasma infection: a case report and review of the literature.
abstract: Neurologic signs and symptoms may represent the initial presentation of AIDS in 10-30% of patients. Movement disorders may be the result of direct central nervous system infection by human immunodeficiency virus (HIV) or the result of opportunistic infections. We report the case of a 59 years old woman who had hemichorea-hemiballismus subsequently found to be secondary to a cerebral toxoplasmosis infection revealing HIV infection. Movement disorders, headache and nausea were resolved after two weeks of antitoxoplasmic treatment. Brain MRI control showed a marked resolution of cerebral lesion. Occurrence of hemichorea-ballismus in patient without familial history of movement disorders suggests a diagnosis of AIDS and in particular the diagnosis of secondary cerebral toxoplasmosis. Early recognition is important since it is a treatable entity.
authors.affiliation: Department of Internal medicine, Hassan II University Hospital, Faculty of Medicine and Pharmacy, University Sidi Mohammed Ben Abdellah, Morocco.
authors.forename: Samira
authors.initials: S
authors.lastname: Rabhi
authors.forename: Kawthar
authors.initials: K
authors.lastname: Amrani
authors.forename: Mustapha
authors.initials: M
authors.lastname: Maaroufi
authors.forename: Zineb
authors.initials: Z
authors.lastname: Khammar
authors.forename: Hajar
authors.initials: H
authors.lastname: Khibri
authors.forename: Maha
authors.initials: M
authors.lastname: Ouazzani
authors.forename: Rhizlane
authors.initials: R
authors.lastname: Berrady
authors.forename: Siham
authors.initials: S
authors.lastname: Tizniti
authors.forename: Ouafae
authors.initials: O
authors.lastname: Messouak
authors.forename: Faouzy
authors.initials: F
authors.lastname: Belahsen
authors.forename: Wafaa
authors.initials: W
authors.lastname: Bono
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D020820:Dyskinesias / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009018:Morocco; D016781:Toxoplasmosis, Cerebral / Q000150:complications*