Chorea: Difference between revisions
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==Background== | ==Background== | ||
*Movement disorder | |||
==Clinical Features=== | |||
*Involuntary worm-like movements | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
===Autoimmune=== | ===Autoimmune=== | ||
*Sydenham's Chorea - due to [[Acute Rheumatic Fever]] | |||
*[[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> | |||
*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=== | ===Vascular=== | ||
*[[Stroke]] | |||
*Postpump Chorea - in children after cardiac surgery | |||
*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> | |||
*[[Hyperthyroidism]] (rare) | |||
*Renal Failure | |||
*[[Hypocalcemia]] | |||
===Drugs=== | ===Drugs=== | ||
*Illicit Drugs | |||
**[[Cocaine]] | |||
**Methamphetamines | |||
*Dopamine Receptor Antagonists | |||
**Metoclopramide (Reglan) | |||
*Cimetidine | |||
*[[Digoxin]] | |||
*[[INH|Isoniazid]] | |||
*Verapamil | |||
*Theophylline | |||
===Paraneoplastic=== | ===Paraneoplastic=== | ||
*Small-cell lung CA | |||
== | ==Diagnosis== | ||
==Management== | ==Management== | ||
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==See Also== | ==See Also== | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:Neuro]] | [[Category:Neuro]] | ||
Revision as of 10:50, 2 September 2015
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
- 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
Diagnosis
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