Chorea: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Autoimmune=== | ===Autoimmune=== | ||
*Sydenham's Chorea - due to [[ | *Sydenham's Chorea - due to [[acute Rheumatic Fever]] | ||
*[[Lupus]] | *[[Lupus]] | ||
*Oral Contraceptives <ref> Miranda M, et al. Oral contraceptive induced chorea: another condition associated with anti-basal 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 anti-basal ganaglia antibodies. J Neurol Neurosurg Psychiatry 2004; 75(2): 327-328 </ref> | ||
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===Vascular=== | ===Vascular=== | ||
*[[Stroke]] | *[[Stroke]] | ||
*Postpump | *Postpump chorea - in children after cardiac surgery | ||
*[[Polycythemia | *[[Polycythemia vera]] | ||
===Metabolic Disorders=== | ===Metabolic Disorders=== | ||
*[[Hyperosmolar Hyperglycemic State (HHS)|Nonketotic hyperglycemia]] <ref> Chang MH, et al. Non-ketotic hyperglycaemic chorea: a SPECT study. J Neurol neurosurg Psychiatry 1996; 60(4): 428-430 </ref> | *[[Hyperosmolar Hyperglycemic State (HHS)|Nonketotic hyperglycemia]] <ref> Chang MH, et al. Non-ketotic hyperglycaemic chorea: a SPECT study. J Neurol neurosurg Psychiatry 1996; 60(4): 428-430 </ref> | ||
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*[[Theophylline]] | *[[Theophylline]] | ||
===[[Paraneoplastic]]=== | ===[[Paraneoplastic]]=== | ||
*Small-cell lung | *Small-cell lung cancer | ||
==Evaluation== | ==Evaluation== | ||
Revision as of 00:24, 3 October 2019
Background
- Movement disorder
Clinical Features
- 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
Metabolic Disorders
Drugs
- Illicit Drugs
- Dopamine Receptor Antagonists
- Metoclopramide (Reglan)
- Cimetidine
- Digoxin
- Isoniazid
- Verapamil
- Theophylline
Paraneoplastic
- Small-cell lung cancer
Evaluation
Management
Treat the underlying disorder
Disposition
- Consult Neurology if cause is unclear
See Also
References
- ↑ Miranda M, et al. Oral contraceptive induced chorea: another condition associated with anti-basal 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. Non-ketotic hyperglycaemic chorea: a SPECT study. J Neurol neurosurg Psychiatry 1996; 60(4): 428-430