Chorea: Difference between revisions
No edit summary |
No edit summary |
||
| Line 12: | Line 12: | ||
#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. Non0ketotic 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. Non0ketotic hyperglycaemic chorea: a SPECT study. J Neurol neurosurg Psychiatry 1996; 60(4): 428-430 </ref> | ||
| Line 30: | Line 28: | ||
#Verapamil | #Verapamil | ||
#Theophylline | #Theophylline | ||
===Paraneoplastic=== | |||
#Small-cell lung CA | |||
==Workup== | ==Workup== | ||
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
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