J Korean Geriatr Soc.
2013 Sep;17(3):157-160. 10.4235/jkgs.2013.17.3.157.
A Case of Hemiballism in Elderly Stroke Improved by Conventional Rehabilitation Therapy and Low Dose Quetiapine
- Affiliations
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- 1Department of Rehabilitation Medicine, Jeju National University College of Medicine, Jeju, Korea. clearblue10@naver.com
- 2Department of Rehabilitation Medicine, Kwandong University College of Medicine, Gangneung, Korea.
- KMID: 2188261
- DOI: http://doi.org/10.4235/jkgs.2013.17.3.157
Abstract
- Hemiballism describes involuntary severe, violent, arrhythmic, rotatory and large amplitude movements of limb from proximal joint. We experienced an elderly stroke patient with hemiballism accompanied dysphagia that persisted for several months severity was evaluated by the Universidade Federal de Minas Gerais Sydenham's chorea rating scale (USCRS) and video fluoroscopic swallowing study (VFSS). In this case, we observed the improvement of hemiballism by conventional rehabilitation therapy and low dose quetiapine. Therefore, we recommend geriatrists considers vthese therapies in elderly patients with hemiballism.
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