title: Management of Severe Hemiballismus: Treatment Challenges in the Acute Inpatient Rehabilitation Setting: A Case Presentation.
abstract: We report a case of a patient with profound right-sided hemiballismus resulting from an acute unilateral left thalamic lesion. The hemiballismus was significant and persistent, resulting in profound functional disability. We discuss the use of low-dose haloperidol in conjunction with acute rehabilitation in the treatment of hemiballismus, resulting in decreased amplitude and frequency of adventitious movements and leading to substantial functional gains in our patient. To our knowledge, this is the first extensive report of successful rehabilitation of a patient with functionally disabling hemiballismus.
  
  
  METHODS
  V.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Lewis Katz School of Medicine at Temple University, Philadelphia, PA(∗).
authors.forename: Michael
authors.initials: M
authors.lastname: Hodde
authors.affiliation: Department of Internal Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, PA(†).
authors.forename: Kelly E
authors.initials: KE
authors.lastname: Rowe
authors.affiliation: Department of Radiology, Lewis Katz School of Medicine at Temple University, Philadelphia, PA(‡).
authors.forename: Krishna
authors.initials: K
authors.lastname: Surapaneni
authors.affiliation: Department of Physical Medicine and Rehabilitation Temple University Hospital, Philadelphia, PA(§).
authors.forename: Phillip
authors.initials: P
authors.lastname: Terrigno
authors.affiliation: Department of Physical Medicine and Rehabilitation Temple University Hospital, Philadelphia, PA(‖).
authors.forename: Anthony
authors.initials: A
authors.lastname: Brighenti
authors.affiliation: Department of Physical Medicine and Rehabilitation, Lewis Katz School of Medicine at Temple University, 3401 North Broad Street, Philadelphia, PA 19140(¶). Electronic address: eric.altschuler@temple.edu.
authors.forename: Eric L
authors.initials: EL
authors.lastname: Altschuler
mesh_terms: D003131:Combined Modality Therapy; D020820:Dyskinesias / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000534:rehabilitation*; D005500:Follow-Up Studies; D006220:Haloperidol / Q000627:therapeutic use*; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications* / Q000000981:diagnostic imaging; D013788:Thalamus / Q000000981:diagnostic imaging / Q000473:pathology*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D006220:Haloperidol