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Unilateral chorea linked to cavernous haemangioma involving the putamen improved by surgery
  1. Yosuke Ito1,
  2. Masafumi Fukuda1,
  3. Tomoyoshi Ota1 and
  4. Makoto Oishi2
  1. 1Neurosurgery, Nishi-Niigata Chuo National Hospital, Niigata, Japan
  2. 2Niigata Daigaku No Kenkyujo, Niigata, Niigata, Japan
  1. Correspondence to Dr Yosuke Ito; y0226{at}kc4.so-net.ne.jp

Abstract

Unilateral chorea movements caused by cavernous haemangioma in the putamen are extremely rare. We report a case with chorea movements linked to cavernous haemangioma, localised to an area including the putamen in which pharmacotherapy was found to be ineffective. Symptoms were, however, improved by resection of the cavernous haemangioma. In cases where chorea movements linked to cavernous haemangioma, involving the putamen, prove intractable with watchful waiting or pharmacotherapy, improvement can be expected with surgical removal of the cavernous haemangioma. It is also possible to reduce the risk of complications through the use of intraoperative navigation and monitoring.

  • Movement disorders (other than Parkinsons)
  • Neurology (drugs and medicines)

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: YI, TO, MF. The following author gave final approval of the manuscript: MO.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.