AccScience Publishing / AN / Volume 2 / Issue 1 / DOI: 10.36922/an.v2i1.141
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CASE REPORT

Choreoathetosis of the upper limb with contralateral substantia nigra lacunar infarction: A case report and literature review

Mengxin Li1 Xiaojun Zhang1 Yanqiang Wang1
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1 Department of Neurology Ⅱ, The Affiliated Hospital of Weifang Medical University, Weifang, Shandong, China
Advanced Neurology 2023, 2(1), 141 https://doi.org/10.36922/an.v2i1.141
Submitted: 25 June 2022 | Accepted: 9 January 2023 | Published: 27 January 2023
© 2023 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Choreoathetosis of the upper limb as the first manifestation of contralateral substantia nigra (SN) lacunar infarction is extremely rare. We report a case of choreoathetosis of the right upper limb in a 60-year-old man with SN infarction. Emergency brain magnetic resonance imaging showed discrete lacunar infarction localized in the left SN. Magnetic resonance angiography showed atherosclerotic stenosis of the basilar artery and the left posterior cerebral artery. He was diagnosed with contralateral SN infarction and then treated with antiplatelet, loading-dose statins, and allopathic therapy to achieve a positive outcome. During the follow-up period, there was no recurrence of stroke, and his symptom of choreoathetosis resolved. More cases alike should be studied to achieve satisfactory outcomes through early diagnosis and appropriate treatments.

Keywords
Substantia nigra
Dance-like movements
Ischemic stroke
Funding
Yuandu scholars
Weifang Key Laboratory
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Conflict of interest
The authors declare they have no competing interests.
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Advanced Neurology, Electronic ISSN: 2810-9619 Published by AccScience Publishing