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Ann Geriatr Med Res > Volume 17(3); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(3):157-160.
DOI: https://doi.org/10.4235/jkgs.2013.17.3.157    Published online September 30, 2013.
A Case of Hemiballism in Elderly Stroke Improved by Conventional Rehabilitation Therapy and Low Dose Quetiapine
Jun Hwan Choi, Sang Hee Im, Eun Young Han, Bo Ryun Kim, So Young Lee
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.
재활치료와 저용량 quetiapine 사용으로 호전된 노인 뇌졸중 후 발생한 hemiballism 증례 1례
최준환1, 한은영1, 김보련1, 이소영1, 임상희2
1제주대학교 병원 재활의학과, 2명지병원 재활의학과
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.
Key Words: Hemiballism, Rehabilitation therapy, USCRS, Quetiapine
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