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Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation

BACKGROUND: Hemichorea–hemiballismus involves unilateral involuntary flailing movements and random jerking movements involving proximal or distal muscles. We describe a case of hemichorea–hemiballismus with dystonia after stroke. Treatment with tetrabenazine and chemodenervation produced beneficial...

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Autores principales: Umeh, Chizoba C., Nichols, Paige, Rosenthal, Liana S., Mari, Zoltan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569969/
https://www.ncbi.nlm.nih.gov/pubmed/23440597
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author Umeh, Chizoba C.
Nichols, Paige
Rosenthal, Liana S.
Mari, Zoltan
author_facet Umeh, Chizoba C.
Nichols, Paige
Rosenthal, Liana S.
Mari, Zoltan
author_sort Umeh, Chizoba C.
collection PubMed
description BACKGROUND: Hemichorea–hemiballismus involves unilateral involuntary flailing movements and random jerking movements involving proximal or distal muscles. We describe a case of hemichorea–hemiballismus with dystonia after stroke. Treatment with tetrabenazine and chemodenervation produced beneficial responses. Effective treatment of both hemichorea–hemiballismus and dystonia due to stroke has not been reported. CASE REPORT: A 65-year-old male developed left hemichorea–hemiballismus and dystonia after a right hemisphere stroke. He underwent initial treatment with neuroleptics and anticonvulsants without improvement. Subsequent treatment with tetrabenazine improved the hemichorea–hemiballismus and chemodenervation reduced the dystonia. DISCUSSION: Hemichorea–hemiballismus associated with dystonia can be improved with both tetrabenazine and chemodenervation.
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spelling pubmed-35699692013-02-25 Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation Umeh, Chizoba C. Nichols, Paige Rosenthal, Liana S. Mari, Zoltan Tremor Other Hyperkinet Mov (N Y) Case Report BACKGROUND: Hemichorea–hemiballismus involves unilateral involuntary flailing movements and random jerking movements involving proximal or distal muscles. We describe a case of hemichorea–hemiballismus with dystonia after stroke. Treatment with tetrabenazine and chemodenervation produced beneficial responses. Effective treatment of both hemichorea–hemiballismus and dystonia due to stroke has not been reported. CASE REPORT: A 65-year-old male developed left hemichorea–hemiballismus and dystonia after a right hemisphere stroke. He underwent initial treatment with neuroleptics and anticonvulsants without improvement. Subsequent treatment with tetrabenazine improved the hemichorea–hemiballismus and chemodenervation reduced the dystonia. DISCUSSION: Hemichorea–hemiballismus associated with dystonia can be improved with both tetrabenazine and chemodenervation. Columbia University Libraries/Information Services 2012-10-19 /pmc/articles/PMC3569969/ /pubmed/23440597 Text en http://creativecommons.org/licenses/by-nc-nd/3.0/us/ This is an open-access article distributed under the terms of the Creative Commons Attribution–Noncommerical–No Derivatives License, which permits the user to copy, distribute, and transmit the work provided that the original author and source are credited; that no commercial use is made of the work; and that the work is not altered or transformed.
spellingShingle Case Report
Umeh, Chizoba C.
Nichols, Paige
Rosenthal, Liana S.
Mari, Zoltan
Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
title Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
title_full Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
title_fullStr Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
title_full_unstemmed Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
title_short Dual Treatment of Hemichorea–Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
title_sort dual treatment of hemichorea–hemiballismus syndrome with tetrabenazine and chemodenervation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569969/
https://www.ncbi.nlm.nih.gov/pubmed/23440597
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