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{
    "pk": 1062,
    "title": "Acute Hemiballismus as the Initial Manifestation of Ischemic Stroke: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Cerebrovascular disease often presents with “negative” symptoms such as weakness with reduced movement of body parts or sensory loss. Rarely do “positive” symptoms such as abnormal movements manifest in acute stroke, with hemichorea being a very rare manifestation. \nCase Report: \nThis is a case report of a 62-year-old chronic smoker with no known past medical history who presented with choreatic movements of his arm and leg. Magnetic resonance imaging of the brain showed changes consistent with an infarct in the right centrum semiovale. He was treated with dual antiplatelets and was noted to have subsequent improvement in symptoms. \nConclusion:\n Recognition and awareness of stroke presenting as movement disorders in the emergency department can help prevent delays in diagnosis and treatment.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "hemiballismus"
        },
        {
            "word": "hemichorea"
        },
        {
            "word": "cerebrovascular disease"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/7pp869t5",
    "frozenauthors": [
        {
            "first_name": "Huiling",
            "middle_name": "",
            "last_name": "Huang",
            "name_suffix": "",
            "institution": "Changi General Hospital, Department of Accident and Emergency, Singapore",
            "department": "None"
        },
        {
            "first_name": "Siang-Hiong",
            "middle_name": "",
            "last_name": "Goh",
            "name_suffix": "",
            "institution": "Changi General Hospital, Department of Accident and Emergency, Singapore",
            "department": "None"
        }
    ],
    "date_submitted": "2021-07-28T20:39:05+02:00",
    "date_accepted": "2021-07-28T20:39:05+02:00",
    "date_published": "2021-07-28T20:39:40+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1062/galley/804/download/"
        }
    ]
}