Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2024; 12(4): 806-813
Published online Feb 6, 2024. doi: 10.12998/wjcc.v12.i4.806
Hemichorea in patients with temporal lobe infarcts: Two case reports
Xu-Dong Wang, Xing Li, Chun-Lian Pan
Xu-Dong Wang, Xing Li, Chun-Lian Pan, Department of Neurology, Puren Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430081, Hubei Province, China
Xu-Dong Wang, School of Medicine, Wuhan University of Science and Technology, Wuhan 430065, Hubei Province, China
Author contributions: Wang XD wrote the manuscript; Li X and Pan CL critically revised the manuscript; and all of the authors have read and approved the submitted version.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chun-Lian Pan, MM, Chief Physician, Department of Neurology, Puren Hospital Affiliated to Wuhan University of Science and Technology, No. 1 Benxi Road, Wuhan 430081, Hubei Province, China. wxdwhspryy@126.com
Received: October 11, 2023
Peer-review started: October 11, 2023
First decision: November 20, 2023
Revised: December 8, 2023
Accepted: January 8, 2024
Article in press: January 8, 2024
Published online: February 6, 2024
Processing time: 105 Days and 14 Hours
Core Tip

Core Tip: Temporal ischemic lesions causing hemichorea are rare in stroke patients, likely delaying proper diagnosis and treatment. We present two cases in which a temporal lobe infarct caused hemichorea. Considering the well-established and time-dependent benefits of reperfusion therapies, we believe that acute onset of hemichorea likely leads to acute stroke. It should be noted that middle cerebral artery stenosis can present with persistent hemichorea, even in the absence of cerebral infarction. Thus, vascular imaging is essential for patients presenting with hemichorea.