Chorea: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Autoimmune=== | ===Autoimmune=== | ||
#Sydenham's Chorea - due to [[Acute Rheumatic Fever]] | #Sydenham's Chorea - due to [[Acute Rheumatic Fever]] | ||
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#Oral Contraceptives <ref> Miranda M, et al. Oral contraceptive induced chorea: another condition associated with anti0basal ganaglia antibodies. J Neurol Neurosurg Psychiatry 2004; 75(2): 327-328 </ref> | #Oral Contraceptives <ref> Miranda M, et al. Oral contraceptive induced chorea: another condition associated with anti0basal ganaglia antibodies. J Neurol Neurosurg Psychiatry 2004; 75(2): 327-328 </ref> | ||
#Chorea Gravidarum - usually in 1st trimester pregnancy <ref> Bordelon YM, et al. Movement disorders in pregnancy. Semin Neurol 2007; 27(5):467-475 </ref> | #Chorea Gravidarum - usually in 1st trimester pregnancy <ref> Bordelon YM, et al. Movement disorders in pregnancy. Semin Neurol 2007; 27(5):467-475 </ref> | ||
===Vascular=== | |||
#[[Stroke]] | |||
#Postpump Chorea - in children after cardiac surgery | |||
#Polycythemia Vera | |||
===Paraneoplastic=== | ===Paraneoplastic=== | ||
#Small-cell lung CA | #Small-cell lung CA | ||
Revision as of 05:12, 21 May 2014
Background
Chorea is a movement disorder characterized by involuntary worm-like movements.
Differential Diagnosis
Autoimmune
- Sydenham's Chorea - due to Acute Rheumatic Fever
- Lupus
- Oral Contraceptives [1]
- Chorea Gravidarum - usually in 1st trimester pregnancy [2]
Vascular
- Stroke
- Postpump Chorea - in children after cardiac surgery
- Polycythemia Vera
Paraneoplastic
- Small-cell lung CA
Metabolic Disorders
- Nonketotic hyperglycemia [3]
- Hyperthyroidism (rare)
- Renal Failure
- Hypocalcemia
Drugs
- Illicit Drugs
- Cocaine
- Methamphetamines
- Dopamine Receptor Antagonists
- Metoclopramide (Reglan)
- Cimetidine
- Digoxin
- Isoniazid
- Verapamil
- Theophylline
Workup
Management
Treat the underlying disorder
Disposition
- Consult Neurology if cause is unclear
See Also
Sources
- Medscape (www.medscape.com/viewarticle/705907_6)
- ↑ Miranda M, et al. Oral contraceptive induced chorea: another condition associated with anti0basal ganaglia antibodies. J Neurol Neurosurg Psychiatry 2004; 75(2): 327-328
- ↑ Bordelon YM, et al. Movement disorders in pregnancy. Semin Neurol 2007; 27(5):467-475
- ↑ Chang MH, et al. Non0ketotic hyperglycaemic chorea: a SPECT study. J Neurol neurosurg Psychiatry 1996; 60(4): 428-430