PARABALLISM ASSOCIATED WITH ANTERIOR OPERCULAR SYNDROME - A CASE-REPORT

We describe the combination of acute bilateral ballism and anterior op ercular syndrome in a 75-year-old female hypertensive patient with bil ateral multiple small infarcts involving the basal ganglia, the subcor tical white matter and the area of the subthalamic nucleus, detected b y CT scan and MRI. These clinical manifestations were accompanied by a pathy, somnolence and cognitive changes usually observed in cortical i nvolvement. Pathogenetic mechanisms for this unusual clinical picture are discussed on the basis of CT, MRI, and SPECT findings.