Dual Treatment of Hemichorea-Hemiballismus Syndrome with Tetrabenazine and Chemodenervation

Dual Treatment of Hemichorea-Hemiballismus Syndrome with Tetrabenazine and Chemodenervation

<p><strong>Background:</strong> Hemichorea&ndash;hemiballismus involves unilateral involuntary flailing movements and random jerking movements involving proximal or distal muscles. We describe a case of hemichorea&ndash;hemiballismus with dystonia after stroke. Treatment wi...

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Main Authors: Chizoba C. Umeh, Paige Nichols, Liana S. Rosenthal, Zoltan Mari
Format: Article
Language:English
Published: Ubiquity Press 2012-10-01
Series:Tremor and Other Hyperkinetic Movements
Online Access:https://tremorjournal.org/index.php/tremor/article/view/113
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spelling doaj-ccc0a223537f4f0fbd3ac7be535aeda82021-04-02T12:24:07ZengUbiquity PressTremor and Other Hyperkinetic Movements2160-82882012-10-01210.7916/D86Q1VZD69Dual Treatment of Hemichorea-Hemiballismus Syndrome with Tetrabenazine and ChemodenervationChizoba C. Umeh0Paige Nichols1Liana S. Rosenthal2Zoltan Mari3Johns Hopkins Medical CenterJohns Hopkins Medical CenterJohns Hopkins Medical CenterJohns Hopkins Medical Center<p><strong>Background:</strong> Hemichorea&ndash;hemiballismus involves unilateral involuntary flailing movements and random jerking movements involving proximal or distal muscles. We describe a case of hemichorea&ndash;hemiballismus with dystonia after stroke. Treatment with tetrabenazine and chemodenervation produced beneficial responses. Effective treatment of both hemichorea&ndash;hemiballismus and dystonia due to stroke has not been reported.</p> <p><strong>Case Report:</strong> A 65-year-old male developed left hemichorea&ndash;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&ndash;hemiballismus and chemodenervation reduced the dystonia.</p> <p><strong>Discussion:</strong> Hemichorea&ndash;hemiballismus associated with dystonia can be improved with both tetrabenazine and chemodenervation.</p>https://tremorjournal.org/index.php/tremor/article/view/113
collection DOAJ
language English
format Article
sources DOAJ
author Chizoba C. Umeh
Paige Nichols
Liana S. Rosenthal
Zoltan Mari
spellingShingle Chizoba C. Umeh
Paige Nichols
Liana S. Rosenthal
Zoltan Mari
Dual Treatment of Hemichorea-Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
Tremor and Other Hyperkinetic Movements
author_facet Chizoba C. Umeh
Paige Nichols
Liana S. Rosenthal
Zoltan Mari
author_sort Chizoba C. Umeh
title Dual Treatment of Hemichorea-Hemiballismus Syndrome with Tetrabenazine and Chemodenervation
title_short 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_sort dual treatment of hemichorea-hemiballismus syndrome with tetrabenazine and chemodenervation
publisher Ubiquity Press
series Tremor and Other Hyperkinetic Movements
issn 2160-8288
publishDate 2012-10-01
description <p><strong>Background:</strong> Hemichorea&ndash;hemiballismus involves unilateral involuntary flailing movements and random jerking movements involving proximal or distal muscles. We describe a case of hemichorea&ndash;hemiballismus with dystonia after stroke. Treatment with tetrabenazine and chemodenervation produced beneficial responses. Effective treatment of both hemichorea&ndash;hemiballismus and dystonia due to stroke has not been reported.</p> <p><strong>Case Report:</strong> A 65-year-old male developed left hemichorea&ndash;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&ndash;hemiballismus and chemodenervation reduced the dystonia.</p> <p><strong>Discussion:</strong> Hemichorea&ndash;hemiballismus associated with dystonia can be improved with both tetrabenazine and chemodenervation.</p>
url https://tremorjournal.org/index.php/tremor/article/view/113
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AT paigenichols dualtreatmentofhemichoreahemiballismussyndromewithtetrabenazineandchemodenervation
AT lianasrosenthal dualtreatmentofhemichoreahemiballismussyndromewithtetrabenazineandchemodenervation
AT zoltanmari dualtreatmentofhemichoreahemiballismussyndromewithtetrabenazineandchemodenervation
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