AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 2008;29:526.

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BRAIN

Subthalamic Lesion on MR Imaging in a Patient with Nonketotic Hyperglycemia-Induced Hemiballism

H.-J. Kim, W.J. Moon, J. Oh, I.K. Lee, H.Y. Kim and S.-H. Han

From the Departments of Neurology (H.-J.K., J.O., I.K.L., H.Y.K., S.-H.H.) and Radiology (W.J.M.), Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea; and Center for Geriatric Neuroscience Research (H.-J.K., H.Y.K., S.-H.H.), Institute of Biomedical Science, Konkuk University, Seoul, Korea.

Please address correspondence to Seol-Heui Han, MD, Department of Neurology, Konkuk University Hospital, Konkuk University School of Medicine, 4–12 Hwayanag-dong, Gwangngjin-gu 143–729, Seoul, Korea: e-mail: alzdoc{at}kuh.ac.kr

SUMMARY: Hemiballism with corresponding striatal T1 hyperintensity on MR imaging has occasionally been reported in patients with nonketotic hyperglycemia. However, the subthalamic nucleus lesion, which is believed to be pathogenetically related to hemiballism, is rarely documented in a living patient with nonketotic hyperglycemia. We describe a patient with nonketotic hyperglycemia-induced hemiballism, whose responsible lesion (ie, the subthalamus) was demonstrated by MR imaging.