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Hemiballismus and secondary mania following a right thalamic infarction

Department of Neurology (Drs. Kulisevsky and Pujol), Sant Pau Hospital, Autonomous University of Barcelona, and Virgen de la Victoria University Hospital (Dr. Berthier), Málaga, Spain.

An 81-year-old woman had the sudden onset of left-sided ballismus and an accompanying behavioral change characterized by elation, distractibility, inflated self-esteem, and insomnia, suggesting secondary mania. An MRI revealed a small ischemic infarction of the right thalamus.

Address correspondence and reprint requests to Dr. Jaime Kulisevsky, Servicio de Neurologia, Hospital Sant Pau, Sant Antoni M. Claret, 167, 08025 Barcelona, Spain.

Received August 17, 1992. Accepted for publication in final form November 3, 1992.

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