Chorea: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
ClaireLewis (talk | contribs) |
||
| Line 14: | Line 14: | ||
*[[Stroke]] | *[[Stroke]] | ||
*Postpump Chorea - in children after cardiac surgery | *Postpump Chorea - in children after cardiac surgery | ||
*Polycythemia Vera | *[[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> | ||
*[[Hyperthyroidism]] (rare) | *[[Hyperthyroidism]] (rare) | ||
*Renal Failure | *[[Renal Failure]] | ||
*[[Hypocalcemia]] | *[[Hypocalcemia]] | ||
===Drugs=== | ===Drugs=== | ||
*Illicit Drugs | *Illicit Drugs | ||
**[[Cocaine]] | **[[Cocaine]] | ||
**Methamphetamines | **[[Methamphetamines]] | ||
*Dopamine Receptor Antagonists | *Dopamine Receptor Antagonists | ||
**Metoclopramide (Reglan) | **[[Metoclopramide]] (Reglan) | ||
*Cimetidine | *[[Cimetidine]] | ||
*[[Digoxin]] | *[[Digoxin]] | ||
*[[INH|Isoniazid]] | *[[INH|Isoniazid]] | ||
*Verapamil | *[[Verapamil]] | ||
*Theophylline | *[[Theophylline]] | ||
===Paraneoplastic=== | ===[[Paraneoplastic]]=== | ||
*Small-cell lung CA | *Small-cell lung CA | ||
Revision as of 01:34, 27 January 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 CA
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