Survival Tips
John Larkin in 101 Top Tips in Medicine, 2021
Other times when you should be careful not to let the patient damage you include: Checking power grip in the hands – always give them two fingers to crunch, as they can severely damage either one or three.Examining a gouty joint in an extremity – my colleague was kicked in the face last week whilst examining a podagra53 in a slightly histrionic patient who liked to emphasise their pain with a bit of drama.Examining anything in a slightly histrionic patient who likes to emphasise their pain with a bit of drama.Taking blood from a patient with hemiballismus.54
Psychopharmacology EMIs
Michael Reilly, Bangaru Raju in Extended Matching Items for the MRCPsych Part 1, 2018
Acute dystonia.Akathisia.Athetosis.Chorea.Hemiballismus.Parkinsonism.Tardive dyskinesia.Tics.Tremors.
Hemiballismus
K. Gupta, P. Carmichael, A. Zumla in 100 Short Cases for the MRCP, 2020
Hemiballismus is characterized by forceful, flinging and violent movements of mainly the proximal parts of the limbs of one half of the body. The movements disappear during sleep. The most common aetiology is that of a vascular event in the contralateral subthalamic nucleus; other causes include an expanding AV malformation, trauma, tumour and multiple sclerosis. In cases of intractable involuntary movements, surgery may be indicated.
Reversible Homonymous Inferior Quadrantanopia in a Nonketotic Hyperglycemic Patient
Published in Neuro-Ophthalmology, 2018
A. López-Amorós, V. Medrano-Martínez, I. Francés-Pont, L. Hernández-Rubio, L. González-Fernández, S. Fernández-Izquierdo, J. Mallada-Frechin
The prevalence of seizures is different in the literature; it goes from 25%6 to 40% of people with NKH.7 Motor seizures, like hemichorea - hemiballismus, are often recognized. The opposite occurs with nonmotor seizures, like apnea, aphasia, somatosensory symptoms and visual disturbance.7 Positive visual phenomena include reports of polyopia, flashing and flickering lights, hallucinations, and a persistence and transposition of objects in the visual fields.8 But the persistent hemianopia in these patients with normal neuroimaging may represent a postictal negative Todd’s visual phenomenon3, like patient we reported here. Seizure-induced blindness or hemianopia may be ictal or postictal (Todd’s phenomenon) visual occipital phenomenon or a permanent consequence following status epilepticus. There does not seem to be a clinical difference between patients with and those without occipital lesions.9,10
Related Knowledge Centers
- Basal Ganglia Disease
- Chorea
- Gliosis
- Hyperglycemia
- Traumatic Brain Injury
- Stroke
- Basal Ganglia
- Lesion
- Subthalamic Nucleus
- Movement Disorder