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KMID : 1197720090020020080
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2009 Volume.2 No. 2 p.80 ~ p.81
A Case of Vascular Hemichorea Responding to Topiramate
Kim Jee-Ae

Jung San
Kim Min-Ju
Kwon Seok-Beom
Hwang Sung-Hee
Kwon Ki-Han
Abstract
Although vascular chorea often comes into remission spontaneously, a few patients may remain with persistent movement disorder. Most movements respond well to neuroleptics as well as other antidopaminergic drugs, but some patients show poor responses to those neuroleptics. Topiramate is a widely used of broad-spectrum anticonvulsant possessing a complex mechanism of action. It has been proven to enhance gamma-aminobutyrate acid activity and to be effective in the control of other movement disorders. We describe a 63-year-old woman with intractable vascular hemichorea which was controlled with anti-convulsant, topiramate.
KEYWORD
Hemichorea, Anticonvulsant, Topiramate
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