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Paraballism caused by bilateral hemorrhagic infarction in basal ganglia

From the Department of Neurology (Dr. Ladder), St. Annadal Hospital, University of Limburg, Maastricht, and the Department of Neurology (Dr. Baard). Municipal Hospital, Schiedam, The Netherlands.

Address correspondence and reprint requests to Dr. Ladder, Department of Neurology, St. Annadal Hospital, University of Limburg, Maastricht, The Netherlands.

Bilatera1 ballism developed gradually in a 75-yearold woman after head trauma. Computerized tomography revealed bilateral hemorrhagic infarction in the head of the caudate nucleus and the putamen. Haloperidol abolished the symptoms completely within 2 days. After 18 days, haloperidol was gradually withdrawn over 16 days. The patient remained without ballistic movements thereafter.

Acknowledgments Dr. G. Padberg and Prof. Dr. P.J.M. van der Lugt are gratefully acknowledged for commenting on the manuscript.

Accepted for publication June 17, 1980.

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