A Case Report of a Right-sided Hemichorea Patient Diagnosed with Chorea Hyperglycemia Basal Ganglia Syndrome: A Combined Western-Korean Medicine Approach

Article information

Acupunct. 2016;33(1):117-125
1Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University
*Corresponding author: Department of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital, 23, Kyungheedae-ro, Dongdaemun-gu, Seoul, 130-872, Republic of Korea, Tel: +82-2-958-1827, E-mail: hanisanam@hanmail.net
Received 2016 February 12; Revised 2016 February 28; Accepted 2016 March 08.

Abstract

Objectives:

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.

Methods:

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.

Results:

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.

Conclusion:

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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Article information Continued

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