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Sydenham Chorea

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21. Autoimmune choreas. (Abstract)

to Sydenham's chorea, systemic lupus erythematosus, primary antiphospolipid antibody syndrome, paraneoplastic chorea and anti-N-methyl-d-aspartate receptor encephalitis.Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. (...) Autoimmune choreas. Chorea, a movement disorder characterised by a continuous flow of unpredictable muscle contractions, has a myriad of genetic and non-genetic causes. Although autoimmune processes are rare aetiology of chorea, they are relevant both for researchers and clinicians. The aim of this article is to provide a review of the epidemiology, clinical and laboratory features, pathogenesis and management of the most common autoimmune causes of chorea. Emphasis is given particularly

2016 Neurosurgery and Psychiatry

22. Chorea: A Journey through History Full Text available with Trip Pro

, Thomas Sydenham provided an accurate description of what he termed chorea minor. He also described rheumatic fever but did not associate it with chorea. It was only in 1850 that See established a relationship between chorea and rheumatic disease. A connection with cardiac involvement was soon recognized and in 1866 Roger postulated that chorea, arthritis, and heart disease had a common cause. The last quarter of the 19th century is marked by the works of Jean-Martin Charcot, Silas Weir Mitchell (...) . Negrette's works culminated in the creation of the Venezuela project and the subsequent discovery of seminal findings in HD. We review the historical facts and outstanding physicians that mark both HD and Sydenham's chorea's history in various sections.

2015 Tremor and Other Hyperkinetic Movements

23. Antibody binding to neuronal surface in Sydenham chorea, but not in PANDAS or Tourette syndrome. Full Text available with Trip Pro

Antibody binding to neuronal surface in Sydenham chorea, but not in PANDAS or Tourette syndrome. To test the hypothesis that Sydenham chorea (SC) immunoglobulin G (IgG) autoantibodies bind to specific neuronal surface proteins, whereas IgG from patients with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infection (PANDAS) or Tourette syndrome (TS) do not bind to neuronal surface proteins.We used live differentiated SH-SY5Y cells, which have neuronal

2011 Neurology

24. Chorea Gravidarum (Overview)

appearing during pregnancy are caused by other diseases (eg, systemic lupus erythematosus [SLE], Huntington disease). In general, about half the cases are idiopathic, with rheumatic fever and antiphospholipid syndrome (APLS) underlying most of the remainder. [ ] Maia et al (2012) describe that chorea gravidarum is a frequent complication of pregnancy in patients with previous history of Sydenham's chorea and an increased risk of miscarriage should be considered. They favor the notion that chorea (...) . . Miyasaki JM, Aldakheel A. Movement disorders in pregnancy. Continuum (Minneap Minn) . 2014 Feb. 20(1 Neurology of Pregnancy):148-61. . Willson P, Preece AA. Chorea gravidarum. Arch Intern Med . 1932. 49:471-533, 671-697. Zegart KN, Schwarz RH. Chorea gravidarum. Obstet Gynecol . 1968 Jul. 32(1):24-7. . Dike GL. Chorea gravidarum: a case report and review. Md Med J . 1997 Sep. 46(8):436-9. . Maia DP, Fonseca PG, Camargos ST, Pfannes C, Cunningham MC, Cardoso F. Pregnancy in patients with Sydenham's

2014 eMedicine.com

25. Chorea in Children (Overview)

together for days. Many such dances were described, but the most renowned was chorea Sancti Viti (St. Vitus dance) Sydenham used this term in his Schedula Monitoria to describe rheumatic chorea in 1686. [ , ] Two hundred years later, Huntington described hereditary chorea and suggested that this movement disorder was similar to that described by Sydenham. [ ] Next: Causes of Chorea Inherited See the list below: Ataxia-telangiectasia Benign hereditary chorea Pantothenate kinase-associated (...) (eg, phenothiazines, haloperidol, metoclopramide) Antihistamines CNS stimulants (eg, amphetamines, methylphenidate, pemoline) [ ] Dopamine agonists (eg, levodopa) Lithium Oral contraceptives Endocrine See the list below: Hypoparathyroidism, pseudohypoparathyroidism Immune/infectious See the list below: Other infections - Pertussis, diphtheria, varicella Primary antiphospholipid antibody syndrome Sydenham chorea [ ] HIV related Infectious mononucleosis Mycoplasmal pneumonia Viral

2014 eMedicine.com

26. Chorea in Adults (Overview)

of senile chorea (non-hereditary). Brain . 1936. 59:376-87. Friedman JH, Ambler M. A case of senile chorea. Mov Disord . 1990. 5(3):251-3. . Galvez-Jimenez N, Friedman J, Lang A. A consistent MRI pattern in three cases of senile chorea. Neurology . 1995. 45 (Supplement 4):A185. Giedd JN, Rapoport JL, Kruesi MJ, Parker C, Schapiro MB, Allen AJ, et al. Sydenhams chorea: magnetic resonance imaging of the basal ganglia. Neurology . 1995 Dec. 45(12):2199-202. . Swedo SE. Sydenhams chorea. A model (...) for childhood autoimmune neuropsychiatric disorders. JAMA . 1994 Dec 14. 272(22):1788-91. . Beato R, Maia DP, Teixeira AL Jr, Cardoso F. Executive functioning in adult patients with Sydenham's chorea. Mov Disord . 2010 May 15. 25(7):853-7. . Gusella JF, MacDonald ME. Huntingtons disease: seeing the pathogenic process through a genetic lens. Trends Biochem Sci . July 2006. 31(pt 9):533-40. Nutting PA, Cole BR, Schimke RN. Benign, recessively inherited choreo-athetosis of early onset. J Med Genet . 1969 Dec

2014 eMedicine.com

27. Chorea Gravidarum (Treatment)

interferes with the patient's health in general, or when the fetus is in danger due to dehydration, malnutrition, disturbed sleep, or injury. Reserpine is potentially toxic to the fetus and is relatively contraindicated during pregnancy. In 1972, Axley described the therapeutic value of haloperidol, a butyrophenone, in rheumatic chorea. [ ] In 1973, Shenker et al reported its effectiveness in Sydenham chorea. [ ] Since then, haloperidol has been effective therapy for Sydenham chorea and moderate (...) , another neuroleptic drug, may have fewer adverse effects than haloperidol. They suggest that it has virtually no effect on norepinephrine receptors, thus in low doses (2 mg bid) and during short-term treatment has a lower risk for the appearance of tardive dyskinesia while improving Sydenham chorea symptoms. [ ] More recently, valproic acid has been reported to be effective at suppressing choreic movements. This drug enhances the activity of GABA, an inhibitory neurotransmitter of the striatonigral

2014 eMedicine.com

28. Chorea in Adults (Treatment)

and plasmapheresis may shorten the course of the illness and decrease symptom severity in patients with Sydenham chorea. Chorea following cardiac transplantation has been reported to be responsive to steroid treatment. [ ] Reports of drug treatment for hemiballism must take into account the high spontaneous remission rate for the disorder. Anecdotal reports must be viewed with caution, unless they can demonstrate that the response is due to the agent (by recurrence of the movements with drug withdrawal (...) of senile chorea. Neurology . 1995. 45 (Supplement 4):A185. Giedd JN, Rapoport JL, Kruesi MJ, Parker C, Schapiro MB, Allen AJ, et al. Sydenhams chorea: magnetic resonance imaging of the basal ganglia. Neurology . 1995 Dec. 45(12):2199-202. . Swedo SE. Sydenhams chorea. A model for childhood autoimmune neuropsychiatric disorders. JAMA . 1994 Dec 14. 272(22):1788-91. . Beato R, Maia DP, Teixeira AL Jr, Cardoso F. Executive functioning in adult patients with Sydenham's chorea. Mov Disord . 2010 May 15. 25

2014 eMedicine.com

29. Chorea in Children (Treatment)

together for days. Many such dances were described, but the most renowned was chorea Sancti Viti (St. Vitus dance) Sydenham used this term in his Schedula Monitoria to describe rheumatic chorea in 1686. [ , ] Two hundred years later, Huntington described hereditary chorea and suggested that this movement disorder was similar to that described by Sydenham. [ ] Next: Causes of Chorea Inherited See the list below: Ataxia-telangiectasia Benign hereditary chorea Pantothenate kinase-associated (...) (eg, phenothiazines, haloperidol, metoclopramide) Antihistamines CNS stimulants (eg, amphetamines, methylphenidate, pemoline) [ ] Dopamine agonists (eg, levodopa) Lithium Oral contraceptives Endocrine See the list below: Hypoparathyroidism, pseudohypoparathyroidism Immune/infectious See the list below: Other infections - Pertussis, diphtheria, varicella Primary antiphospholipid antibody syndrome Sydenham chorea [ ] HIV related Infectious mononucleosis Mycoplasmal pneumonia Viral

2014 eMedicine.com

30. Chorea Gravidarum (Follow-up)

by Willson and Preece [ ] reflects death due to underlying rheumatic heart disease. In the case of drug-induced chorea gravidarum, movements clear on drug withdrawal, and specific antidote therapy often is not needed. Individual susceptibility for adverse effects from these drugs may be due to preexisting basal ganglia abnormalities, such as prior Sydenham chorea or hypoxic encephalopathy. In the case of contraceptive-induced chorea gravidarum, researchers know from animal experiments that female (...) . 1932. 49:471-533, 671-697. Zegart KN, Schwarz RH. Chorea gravidarum. Obstet Gynecol . 1968 Jul. 32(1):24-7. . Dike GL. Chorea gravidarum: a case report and review. Md Med J . 1997 Sep. 46(8):436-9. . Maia DP, Fonseca PG, Camargos ST, Pfannes C, Cunningham MC, Cardoso F. Pregnancy in patients with Sydenham's Chorea. Parkinsonism Relat Disord . 2012 Jun. 18 (5):458-61. . Greenfield JG, Wolfsohn JM. The pathology of Sydenham's chorea. Lancet . 1922. 2:603-606. Winkelman NW, Eckel JL. The brain

2014 eMedicine.com

31. Chorea in Adults (Follow-up)

. Acta Clin Croat . 2014 Mar. 53(1):107-12. . Alcock, NS. A note of the pathology of senile chorea (non-hereditary). Brain . 1936. 59:376-87. Friedman JH, Ambler M. A case of senile chorea. Mov Disord . 1990. 5(3):251-3. . Galvez-Jimenez N, Friedman J, Lang A. A consistent MRI pattern in three cases of senile chorea. Neurology . 1995. 45 (Supplement 4):A185. Giedd JN, Rapoport JL, Kruesi MJ, Parker C, Schapiro MB, Allen AJ, et al. Sydenhams chorea: magnetic resonance imaging of the basal ganglia (...) . Neurology . 1995 Dec. 45(12):2199-202. . Swedo SE. Sydenhams chorea. A model for childhood autoimmune neuropsychiatric disorders. JAMA . 1994 Dec 14. 272(22):1788-91. . Beato R, Maia DP, Teixeira AL Jr, Cardoso F. Executive functioning in adult patients with Sydenham's chorea. Mov Disord . 2010 May 15. 25(7):853-7. . Gusella JF, MacDonald ME. Huntingtons disease: seeing the pathogenic process through a genetic lens. Trends Biochem Sci . July 2006. 31(pt 9):533-40. Nutting PA, Cole BR, Schimke RN. Benign

2014 eMedicine.com

32. Chorea in Children (Follow-up)

together for days. Many such dances were described, but the most renowned was chorea Sancti Viti (St. Vitus dance) Sydenham used this term in his Schedula Monitoria to describe rheumatic chorea in 1686. [ , ] Two hundred years later, Huntington described hereditary chorea and suggested that this movement disorder was similar to that described by Sydenham. [ ] Next: Causes of Chorea Inherited See the list below: Ataxia-telangiectasia Benign hereditary chorea Pantothenate kinase-associated (...) (eg, phenothiazines, haloperidol, metoclopramide) Antihistamines CNS stimulants (eg, amphetamines, methylphenidate, pemoline) [ ] Dopamine agonists (eg, levodopa) Lithium Oral contraceptives Endocrine See the list below: Hypoparathyroidism, pseudohypoparathyroidism Immune/infectious See the list below: Other infections - Pertussis, diphtheria, varicella Primary antiphospholipid antibody syndrome Sydenham chorea [ ] HIV related Infectious mononucleosis Mycoplasmal pneumonia Viral

2014 eMedicine.com

33. Chorea Gravidarum (Diagnosis)

appearing during pregnancy are caused by other diseases (eg, systemic lupus erythematosus [SLE], Huntington disease). In general, about half the cases are idiopathic, with rheumatic fever and antiphospholipid syndrome (APLS) underlying most of the remainder. [ ] Maia et al (2012) describe that chorea gravidarum is a frequent complication of pregnancy in patients with previous history of Sydenham's chorea and an increased risk of miscarriage should be considered. They favor the notion that chorea (...) . . Miyasaki JM, Aldakheel A. Movement disorders in pregnancy. Continuum (Minneap Minn) . 2014 Feb. 20(1 Neurology of Pregnancy):148-61. . Willson P, Preece AA. Chorea gravidarum. Arch Intern Med . 1932. 49:471-533, 671-697. Zegart KN, Schwarz RH. Chorea gravidarum. Obstet Gynecol . 1968 Jul. 32(1):24-7. . Dike GL. Chorea gravidarum: a case report and review. Md Med J . 1997 Sep. 46(8):436-9. . Maia DP, Fonseca PG, Camargos ST, Pfannes C, Cunningham MC, Cardoso F. Pregnancy in patients with Sydenham's

2014 eMedicine.com

34. Chorea in Adults (Diagnosis)

of senile chorea (non-hereditary). Brain . 1936. 59:376-87. Friedman JH, Ambler M. A case of senile chorea. Mov Disord . 1990. 5(3):251-3. . Galvez-Jimenez N, Friedman J, Lang A. A consistent MRI pattern in three cases of senile chorea. Neurology . 1995. 45 (Supplement 4):A185. Giedd JN, Rapoport JL, Kruesi MJ, Parker C, Schapiro MB, Allen AJ, et al. Sydenhams chorea: magnetic resonance imaging of the basal ganglia. Neurology . 1995 Dec. 45(12):2199-202. . Swedo SE. Sydenhams chorea. A model (...) for childhood autoimmune neuropsychiatric disorders. JAMA . 1994 Dec 14. 272(22):1788-91. . Beato R, Maia DP, Teixeira AL Jr, Cardoso F. Executive functioning in adult patients with Sydenham's chorea. Mov Disord . 2010 May 15. 25(7):853-7. . Gusella JF, MacDonald ME. Huntingtons disease: seeing the pathogenic process through a genetic lens. Trends Biochem Sci . July 2006. 31(pt 9):533-40. Nutting PA, Cole BR, Schimke RN. Benign, recessively inherited choreo-athetosis of early onset. J Med Genet . 1969 Dec

2014 eMedicine.com

35. Chorea in Children (Diagnosis)

together for days. Many such dances were described, but the most renowned was chorea Sancti Viti (St. Vitus dance) Sydenham used this term in his Schedula Monitoria to describe rheumatic chorea in 1686. [ , ] Two hundred years later, Huntington described hereditary chorea and suggested that this movement disorder was similar to that described by Sydenham. [ ] Next: Causes of Chorea Inherited See the list below: Ataxia-telangiectasia Benign hereditary chorea Pantothenate kinase-associated (...) (eg, phenothiazines, haloperidol, metoclopramide) Antihistamines CNS stimulants (eg, amphetamines, methylphenidate, pemoline) [ ] Dopamine agonists (eg, levodopa) Lithium Oral contraceptives Endocrine See the list below: Hypoparathyroidism, pseudohypoparathyroidism Immune/infectious See the list below: Other infections - Pertussis, diphtheria, varicella Primary antiphospholipid antibody syndrome Sydenham chorea [ ] HIV related Infectious mononucleosis Mycoplasmal pneumonia Viral

2014 eMedicine.com

36. Takayasu’s Arteritis in a Patient with Sydenham’s Chorea: is There an Association? Full Text available with Trip Pro

Takayasu’s Arteritis in a Patient with Sydenham’s Chorea: is There an Association? Takayasu's arteritis (TA) has been associated with many conditions. Herein described is a case of TA in a patient with rheumatic fever complicated with Sydenham's chorea.A 17-year-old female presented at age 6 with rheumatic fever followed by chorea a month later. At the age of 16, she developed a blood pressure discrepancy between the arms and faint pulses. Computed tomography angiography revealed diffuse (...) aortic involvement and narrowing of the arteries.The presence of rheumatic fever and Sydenham's chorea in TA raises the possibility of an immunological basis for the pathogenesis of the disease.

2012 Tremor and Other Hyperkinetic Movements

37. Chorea Gravis and Cortisone Full Text available with Trip Pro

Chorea Gravis and Cortisone 14859171 2004 02 15 2018 12 01 0008-4409 65 2 1951 Aug Canadian Medical Association journal Can Med Assoc J Chorea gravis (Sydenham's chorea) treated with cortisone and ascorbic acid. 150-1 SCHWARZ H H eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 0 Vitamins PQ6CK8PD0R Ascorbic Acid V27W9254FZ Cortisone OM Ascorbic Acid Chorea Cortisone Humans Vitamins 5120:92657:204:228:446 CHOREA CORTISONE VITAMIN C 1951 8 1 1951 8 1 0 1 1951 8 1 0 0 ppublish

1951 Canadian Medical Association Journal

38. Cortisone and Ascorbic Acid in Chorea Full Text available with Trip Pro

Cortisone and Ascorbic Acid in Chorea 14945036 2004 02 15 2018 12 01 0008-4409 66 6 1952 Jun Canadian Medical Association journal Can Med Assoc J Cortisone and ascorbic acid in chorea gravidarum (Sydenham's chorea). 583-5 SCHWARZ H H DE SAINT-VICTOR H H eng Journal Article Canada Can Med Assoc J 0414110 0008-4409 0 Vitamins PQ6CK8PD0R Ascorbic Acid V27W9254FZ Cortisone OM Ascorbic Acid therapeutic use Chorea Chorea Gravidarum Cortisone therapeutic use Female Humans Pregnancy Vitamins 5222:31372 (...) :105:120:499 CHOREA CORTISONE/therapeutic use VITAMIN C/therapeutic use 1952 6 1 1952 6 1 0 1 1952 6 1 0 0 ppublish 14945036 PMC1822528 J Obstet Gynaecol Br Emp. 1950 Aug;57(4):616-25 14779205

1952 Canadian Medical Association Journal

39. SYDENHAM’S CHOREA Full Text available with Trip Pro

SYDENHAM’S CHOREA 20779479 2011 03 31 2011 03 31 0007-1447 2 3905 1935 Nov 09 British medical journal Br Med J SYDENHAM'S CHOREA. 912-3 Howell C M CM eng Journal Article England Br Med J 0372673 0007-1447 2010 8 27 6 0 1935 11 9 0 0 1935 11 9 0 1 ppublish 20779479 PMC2461379

1935 British medical journal

40. Chorea, Athetosis, and Hemiballismus

of it. A tumor or an infarct in the striatum (caudate or putamen) can cause acute unilateral chorea (hemichorea). Sydenham chorea and chorea due to infarcts of the caudate nucleus often lessen over time without treatment. Chorea due to hyperthyroidism or another metabolic cause (eg, hyperglycemia) usually lessens when thyroid function or blood glucose level is normalized. Chorea in patients > 60 should be thoroughly evaluated to identify the cause (eg, toxic, metabolic, autoimmune, paraneoplastic). Chorea (...) Chorea, Athetosis, and Hemiballismus Chorea, Athetosis, and Hemiballismus - Neurologic Disorders - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / OTHER TOPICS IN THIS CHAPTER Test your knowledge

2013 Merck Manual (19th Edition)

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