Relief of hemiballism from a basal ganglia arteriovenous malformation after radiosurgery

Neurology. 1999 Jan 1;52(1):188-90. doi: 10.1212/wnl.52.1.188.

Abstract

A patient with a 3-year history of progressive hemiballism presented with an unruptured arteriovenous malformation (AVM) in the contralateral caudate nucleus and putamen. PET demonstrated a matched reduction of cerebral blood flow (CBF) and cerebral metabolic rate of oxygen (CMRO2) in the basal ganglia and adjacent frontal lobe. The patient underwent radiosurgery for the AVM. After a period of no clinical change for 6 months, the movement disorder resolved by month 7 post-treatment. The AVM was successfully obliterated 2 years after irradiation without any significant change in the regional CBF or CMRO2.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Arteriovenous Malformations / complications*
  • Arteriovenous Malformations / surgery*
  • Basal Ganglia / blood supply*
  • Cerebral Angiography
  • Humans
  • Male
  • Middle Aged
  • Movement Disorders / diagnostic imaging
  • Movement Disorders / etiology*
  • Movement Disorders / surgery
  • Radiosurgery
  • Tomography, Emission-Computed
  • Treatment Outcome