A Teleconsultation on a Patient Presenting with Acute Hemichorea Led to a Successful Treatment: A Case Report
Maythinee Potongcamphan¹, Monsinee Wiengkhum², Samadhi Patamatamkul¹, Warongporn Phuenpathom³
Affiliation : ¹ Department of Medicine, Suddhavej Hospital, Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand ² Department of Radiology, Suddhavej Hospital, Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand ³ Chulalongkorn Center of Excellence for Parkinson’s Disease & Related Disorders, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand
Although hemichorea is a rare manifestation of acute ischemic stroke, in cases of sudden onset of hemichorea, acute stroke should always be considered first. Physicians should also be aware of other neurological deficit, dysarthria, facial weakness, or other signs of cortical abnormalities since these deficits may be masked by the hyperkinetic movement disorders. A teleconsultation program for the management of movement disorders in the areas with inadequate specialists should be implemented to improve patients’ access to specialty care.
Received 7 December 2021 | Revised 6 January 2022 | Accepted 6 January 2022
DOI: 10.35755/jmedassocthai.2022.01.13238
Keywords : Acute hemichorea; Movement disorders; Teleconsultation; Acute stroke
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