Arm chorea secondary to an unruptured giant aneurysm

Mov Disord. 2003 Nov;18(11):1397-9. doi: 10.1002/mds.10550.

Abstract

We describe the case of a 20-year-old male who developed right-arm choreic movements secondary to a giant unruptured aneurysm impinging upon the left thalamus, putamen, globus pallidus, cerebral peduncle, midbrain, and subthalamic nucleus. The aneurysm was treated successfully with coils and a supraclinoid balloon. Abnormal movements initially failed to ameliorate, but within a few months, it was possible to discontinue symptomatic haloperidol therapy, with only mild residual abnormal movements.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arm / physiopathology*
  • Chorea / etiology*
  • Chorea / physiopathology*
  • Globus Pallidus / blood supply
  • Globus Pallidus / pathology
  • Humans
  • Intracranial Aneurysm / complications*
  • Intracranial Aneurysm / pathology
  • Intracranial Aneurysm / surgery
  • Magnetic Resonance Imaging
  • Male
  • Mesencephalon / blood supply
  • Mesencephalon / pathology
  • Neurosurgical Procedures / methods
  • Putamen / blood supply
  • Putamen / pathology
  • Subthalamic Nucleus / blood supply
  • Subthalamic Nucleus / pathology
  • Thalamus / blood supply
  • Thalamus / pathology
  • Videotape Recording