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.

Keywords: Acute hemichorea; Movement disorders; Teleconsultation; Acute stroke

DOI: 10.35755/jmedassocthai.2022.01.13238

Received 7 December 2021 | Revised 6 January 2022 | Accepted 6 January 2022