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J Acupunct Res > Volume 33(1); 2016 > Article
Yoon, Hyeong, Hyun, Jae, Min, Won, and Woo: A Case Report of a Right-sided Hemichorea Patient Diagnosed with Chorea Hyperglycemia Basal Ganglia Syndrome: A Combined Western-Korean Medicine Approach
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The purpose of this report is to introduce a rare case of a patient with Chorea Hyperglycemia Basal Ganglia syndrome (C-H-BG) whose initial medical interventions were started 2 weeks after the onset and to suggest the possibility of treatment using a combined Western-Korean medicine approach.


A 75-year-old female C-H-BG patient complaining of persistent right-sided hemichorea was treated with a therapy that combined Korean and Western medicine from April 4, 2015 to April 29, 2015. Improvements of symptoms were measured by a motor assessment of Unified Huntington’s Disease Rating Scale (UHDRS), Visual Analog Scale (VAS) and the number of involuntary movements.


Motor assessment of UHDRS, VAS and the number of involuntary movements all showed a gradually improving tendency during 26 days of admission treatment. However, the patient’s hemichorea persisted.


Rapid blood sugar control is the most important treatment for C-H-BG because pathologic changes of basal ganglia seem to become irreversible as time goes by. A combined Western-Korean medicine approach to treating C-H-BG seems effective not only in reducing hemichorea, but also in the management of accompanying symptoms such as muscle pain and general weakness.

Fig. 1
T1 weighted brain MRI image
*High signal intensity lesion at left putamen.
Fig. 2
Changes of UHDRS-motor assessment
Fig. 3
Changes of VAS
Fig. 4
Changes of the number of involuntary movements of right lower extremity for 30 minutes


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