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All Journal Magna Neurologica Neurona
Nurul, Nasyifa
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Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Acute Hemiballismus Due to Vascular or Diabetic Striatopathy: A Rare Case Report from KHZ Musthafa General Hospital, Tasikmalaya Nurul, Nasyifa; Ramdani, Billy Muchamad; Affandi, Indra Gunawan
Magna Neurologica Vol. 3 No. 2 (2025): July
Publisher : Department of Neurology Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/magnaneurologica.v3i2.2276

Abstract

Background: Hemiballismus is a hyperkinetic movement disorder characterized by sudden, involuntary, high-amplitude ballistic movements of the arm and leg on one side of the body, often due to contralateral central nervous system dysfunction. The most common causes are ischemic stroke and hyperosmolar hyperglycemic syndrome. Stroke-related movement disorders are rare, with an incidence of 0.4%–0.54%, while the prevalence of hyperglycemia-induced, known as diabetic striatopathy (DS), affects approximately 1 in 100,000 individuals, predominantly older women. Case: A 63-year-old male presented with sudden, involuntary left arm movements for one week, starting with throwing-like motions, followed by stiffness, tremors, rapid arm drop, and facial grimacing on the left side. The condition was accompanied by left leg weakness. He had a history of uncontrolled type 2 diabetes mellitus. Physical examination showed left hemiballismus with motor strength 5/5/3/2 and a positive Babinski reflex on the left. Blood tests revealed a random glucose of 686 mg/dL, HbA1C of 15%, and 126 mmol/L sodium. A non-contrast CT scan showed multiple bilateral lacunar infarcts in the basal ganglia region. Discussion: Hemiballismus occurs sporadically and is caused by multiple bilateral lacunar infarcts in the basal ganglia, with risk factors including type 2 diabetes mellitus and advanced age. Other causes, such as stroke and genetic factors, may still be considered. Conclusion: Hemiballismus is a rare form of movement disorder. Vascular and metabolic disorders are the most common causes of hemiballismus. In this case, acute hemiballismus occurred in an elderly stroke patient with type 2 diabetes mellitus as a risk factor.
HUBUNGAN USIA DAN JENIS KELAMIN DENGAN KEJADIAN STROKE DI RSUD KHZ MUSTHAFA TASIKMALAYA 2023 nurul, nasyifa
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 2 (2025): Vol 41 No 2 (2025): Volume 41, No 2 - Maret 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i2.646

Abstract

ABSTRACT Introduction: According to the 2018 Riskesdas data, the prevalence of stroke in Indonesia indicates a potential global increase in the coming years as the population ages. Based on gender characteristics, the prevalence of stroke in males is 8.8%, and in females, it is 7.9%, showing only a slight difference, with males being slightly more susceptible to stroke. Aim: To determine the relationship between age and gender characteristics with the incidence of stroke at KHZ Musthafa General Hospital, Tasikmalaya, in 2023. Method: This study uses a retrospective observational design. Data were obtained through secondary data in the form of medical records of patients who were hospitalized at KHZ Musthafa General Hospital in 2023. The sample was taken using total sampling. Data were tested using the chi-square test. Results: The highest number of ischemic and hemorrhagic stroke patients was found in the 45-64 age group. Hemorrhagic stroke occurred more frequently in females, while the incidence of ischemic stroke was similar between males and females. Discussion: There is a very significant relationship between age and the incidence of both hemorrhagic and ischemic stroke. Individuals over the age of 45 have a 12-fold higher risk of hemorrhagic stroke and a 24-fold higher risk of ischemic stroke compared to those under 45. Gender does not have a significant relationship with the incidence of hemorrhagic stroke, while for ischemic stroke, females show a lower risk compared to males. Keywords: Age, Gender, Stroke
Co-Authors Affandi, Indra Gunawan Ramdani, Billy Muchamad