Chorea: Difference between revisions
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[[Category:Neuro]] |
Revision as of 05:15, 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
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
Paraneoplastic
- Small-cell lung CA
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