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Chorea

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develop Sydenham's chorea as a complication. It is increasingly rare, which may be partially due to penicillin, improved social conditions, and/or a natural reduction in the bacteria (Streptococcus) it has stemmed from. Psychological symptoms may precede or accompany this acquired chorea and may be
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refers to choreic symptoms that occur during pregnancy. If left untreated, the disease resolves in 30% of patients before delivery but, in the other 70%, it persists. The symptoms then progressively disappear in the next few days following the delivery.
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Chorea is characterized by brief, semi-directed, irregular movements that are not repetitive or rhythmic, but appear to flow from one muscle to the next. These 'dance-like' movements of chorea often occur with
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There is no standard course of treatment for chorea. Treatment depends on the type of chorea and the associated disease. Although there are many drugs that can control it, no cure has yet been identified.
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is a neurodegenerative disease and most common inherited cause of chorea. The condition was formerly called Huntington's chorea but was renamed because of the important non-choreic features including
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relapsing and remitting. The broader spectrum of paediatric autoimmune neuropsychiatric disorders associated with streptococcal infection can cause chorea and are collectively referred to as
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movement disorder. When chorea is serious, slight movements will become thrashing motions; this form of severe chorea is referred to as
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occurs as a complication of streptococcal infection. Twenty percent (20%) of children and adolescents with
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Mokri, Bahram (December 2014). "Movement disorders associated with spontaneous CSF leaks: a case series".
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Other genetic causes of chorea are rare. They include the classical Huntington's disease 'mimic' or
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refers to chorea of one side of the body, such as chorea of one arm but not both (analogous to
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is the only FDA approved drug for the treatment of Huntington's disease-related chorea.
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Historically, choreas like Huntington disease and Sydenham's chorea were called
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Patterson, John F. (1979). "Treatment of Chorea Gravidarum With Haloperidol".
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drugs to treat the infection, followed by drug therapy to prevent recurrence.
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Donaldson JO (March 1982). "Control of choreia gravidarum with haloperidol".
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occur on their own, without conscious effort. Thus, chorea is said to be a
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Spinal muscular atrophy with lower extremity predominance (SMALED)
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Gillian, Bates; Sarah, Tabrizi; Lesley, Jones (2014).
840: 550: 548: 546: 544: 542: 540: 518: 604:Cephalalgia: An International Journal of Headache 537: 1883: 247:infection—usually through its association with 696:"Rheumatic chorea controlled with haloperidol" 424:Reducing levels of copper in the body using D- 239:The most common acquired causes of chorea are 967: 276:Chorea may also be caused by drugs (commonly 769: 360:, although treatment is largely supportive. 1686: 655:"Neurologic presentation of celiac disease" 554: 87:, occasionally) is an abnormal involuntary 974: 960: 763: 687: 59: 734: 728: 711: 670: 523:(4th ed.). Oxford University Press. 313:transmissible spongiform encephalopathies 798: 69: 652: 555:Wild, EJ; Tabrizi, SJ (November 2007). 453:Metabolic and endocrine-related choreas 178: 163: 1884: 1763:Distal hereditary motor neuronopathies 1436:Template:Demyelinating diseases of CNS 557:"The differential diagnosis of chorea" 1892:Extrapyramidal and movement disorders 955: 693: 601: 1614:Idiopathic intracranial hypertension 1003: 205:dentatorubral-pallidoluysian atrophy 456:Treated according to their causes. 13: 1845:Infantile progressive bulbar palsy 234: 189:Huntington's disease-like syndrome 14: 1908: 1548:Template:Cerebrovascular diseases 1351:Frontotemporal lobar degeneration 823: 473:social phenomena of the same name 209:brain iron accumulation disorders 27:For the ancient Greek dance, see 1568:For more detailed coverage, see 1546:For more detailed coverage, see 1517:For more detailed coverage, see 1483:For more detailed coverage, see 1434:For more detailed coverage, see 749:10.1097/00007611-197909000-00044 175:decline and behavioural change. 653:Bushara, Khalafalla O. (2005). 125: 792: 646: 595: 512: 448:Adjusting medication dosages. 291:Other acquired causes include 243:and, in the developing world, 1: 1861:Amyotrophic lateral sclerosis 1746:Hereditary spastic paraplegia 1604:Normal pressure hydrocephalus 713:10.1016/S0022-3476(72)80272-5 505: 406:alone or in combination with 1830:Progressive muscular atrophy 672:10.1053/j.gastro.2005.02.018 326: 297:systemic lupus erythematosus 191:types 1, 2 and 3; inherited 7: 1340:Primary progressive aphasia 799:Lawrence, David M. (2009). 478: 10: 1913: 1662:Hashimoto's encephalopathy 1368:Posterior cortical atrophy 1189:Striatonigral degeneration 1040:Cavernous sinus thrombosis 831:Chorea Gravidarum~clinical 462: 104: 26: 15: 1768:Spinal muscular atrophies 1736:Primary lateral sclerosis 1718: 1695: 1679: 1634: 1594:Intracranial hypertension 1584: 1556: 1527: 1493: 1455: 1444: 1410: 1388: 1374:Creutzfeldt–Jakob disease 1313: 1123: 1114: 1100: 1060: 994: 914: 844: 773:Obstetrics and Gynecology 700:The Journal of Pediatrics 471:, related to a series of 301:antiphospholipid syndrome 158: 48: 43: 1835:Progressive bulbar palsy 1626:Intracranial hypotension 1609:Choroid plexus papilloma 1023:Herpesviral encephalitis 737:Southern Medical Journal 616:10.1177/0333102414531154 358:dopaminergic antagonists 309:polycythaemia rubra vera 217:benign hereditary chorea 16:Not to be confused with 1347:Frontotemporal dementia 1033:Encephalitis lethargica 805:. Infobase Publishing. 430:trientine hydrochloride 241:cerebrovascular disease 197:spinocerebellar ataxias 33:Chorea (disambiguation) 1652:Hepatic encephalopathy 573:10.1136/pn.2007.134585 356:A common treatment is 77: 31:. For other uses, see 1710:Ataxia–telangiectasia 1667:Static encephalopathy 1390:Mitochondrial disease 1228:Spasmodic torticollis 1138:Basal ganglia disease 225:mitochondrial disease 73: 1897:Huntington's disease 1657:Toxic encephalopathy 1363:Lewy bodies dementia 802:Huntington's Disease 694:Axley, John (1972). 665:(4 Suppl 1): S92–7. 521:Huntington's disease 249:cryptococcal disease 179:Other genetic causes 169:Huntington's disease 164:Huntington's disease 99:is derived from the 1705:Friedreich's ataxia 1088:Meningoencephalitis 1028:Limbic encephalitis 561:Practical Neurology 445:Drug-induced chorea 385:. Usually involves 221:Friedreich's ataxia 201:neuroacanthocytosis 1741:Pseudobulbar palsy 1479:Status epilepticus 1430:Multiple sclerosis 1267:Myoclonic epilepsy 1130:movement disorders 1076:Acute disseminated 1018:Viral encephalitis 915:External resources 469:Saint Vitus' dance 434:tetrathiomolybdate 414:can also be used. 199:type 1, 3 and 17, 187:syndromes, called 78: 1879: 1878: 1875: 1874: 1871: 1870: 1675: 1674: 1580: 1579: 1519:Template:Headache 1485:Template:Epilepsy 1406: 1405: 1380:Vascular dementia 1223:Status dystonicus 1096: 1095: 1071:Encephalomyelitis 949: 948: 610:(14): 1134–1141. 460: 459: 395:Chorea gravidarum 370:Sydenham's chorea 270:Chorea gravidarum 255:Sydenham's chorea 89:movement disorder 75:Hereditary chorea 68: 67: 38:Medical condition 1904: 1693: 1692: 1684: 1683: 1642:Brain herniation 1453: 1452: 1293:Intention tremor 1288:Essential tremor 1153:Postencephalitic 1121: 1120: 1112: 1111: 1001: 1000: 982:Diseases of the 976: 969: 962: 953: 952: 842: 841: 817: 816: 796: 790: 789: 767: 761: 760: 732: 726: 725: 715: 691: 685: 684: 674: 659:Gastroenterology 650: 644: 643: 599: 593: 592: 552: 535: 534: 516: 420:Wilson's disease 335: 334: 282:anti-convulsants 213:Wilson's disease 155:, or ballismus. 106: 64: 63: 41: 40: 1912: 1911: 1907: 1906: 1905: 1903: 1902: 1901: 1882: 1881: 1880: 1867: 1793:Congenital DSMA 1714: 1671: 1630: 1576: 1564:Sleep disorders 1552: 1529:Cerebrovascular 1523: 1489: 1446: 1440: 1402: 1384: 1309: 1255:Choreoathetosis 1128: 1105: 1092: 1056: 990: 980: 950: 945: 944: 910: 909: 853: 826: 821: 820: 813: 797: 793: 768: 764: 733: 729: 692: 688: 651: 647: 600: 596: 553: 538: 531: 517: 513: 508: 485:Choreoathetosis 481: 465: 329: 317:coeliac disease 286:anti-psychotics 259:rheumatic fever 237: 235:Acquired causes 181: 166: 161: 128: 58: 39: 36: 25: 12: 11: 5: 1910: 1900: 1899: 1894: 1877: 1876: 1873: 1872: 1869: 1868: 1866: 1865: 1864: 1863: 1852: 1851: 1850: 1849: 1848: 1847: 1842: 1832: 1827: 1826: 1825: 1820: 1815: 1814: 1813: 1808: 1803: 1795: 1790: 1785: 1780: 1775: 1765: 1751: 1750: 1749: 1748: 1743: 1738: 1724: 1722: 1716: 1715: 1713: 1712: 1707: 1701: 1699: 1690: 1681: 1677: 1676: 1673: 1672: 1670: 1669: 1664: 1659: 1654: 1649: 1644: 1638: 1636: 1632: 1631: 1629: 1628: 1623: 1621:Cerebral edema 1618: 1617: 1616: 1611: 1606: 1601: 1590: 1588: 1582: 1581: 1578: 1577: 1575: 1574: 1573: 1572: 1570:Template:Sleep 1560: 1558: 1554: 1553: 1551: 1550: 1544: 1539: 1533: 1531: 1525: 1524: 1522: 1521: 1515: 1510: 1505: 1499: 1497: 1491: 1490: 1488: 1487: 1481: 1476: 1471: 1465: 1463: 1450: 1442: 1441: 1439: 1438: 1432: 1427: 1422: 1416: 1414: 1408: 1407: 1404: 1403: 1401: 1400: 1398:Leigh syndrome 1394: 1392: 1386: 1385: 1383: 1382: 1371: 1370: 1365: 1360: 1359: 1358: 1344: 1343: 1342: 1337: 1336: 1335: 1319: 1317: 1311: 1310: 1308: 1307: 1302: 1297: 1296: 1295: 1290: 1279: 1278: 1277: 1276: 1271: 1270: 1269: 1259: 1258: 1257: 1247: 1242: 1241: 1240: 1235: 1230: 1225: 1209: 1208: 1207: 1206: 1201: 1196: 1191: 1186: 1185: 1184: 1174: 1173: 1172: 1162: 1161: 1160: 1155: 1150: 1134: 1132: 1125:Extrapyramidal 1118: 1109: 1107:encephalopathy 1098: 1097: 1094: 1093: 1091: 1090: 1085: 1080: 1079: 1078: 1067: 1065: 1058: 1057: 1055: 1054: 1053: 1052: 1042: 1037: 1036: 1035: 1030: 1025: 1020: 1009: 1007: 998: 992: 991: 984:nervous system 979: 978: 971: 964: 956: 947: 946: 943: 942: 931: 919: 918: 916: 912: 911: 908: 907: 896: 885: 870: 854: 849: 848: 846: 845:Classification 839: 838: 825: 824:External links 822: 819: 818: 811: 791: 762: 727: 686: 645: 594: 536: 530:978-0199929146 529: 510: 509: 507: 504: 503: 502: 497: 492: 487: 480: 477: 464: 461: 458: 457: 454: 450: 449: 446: 442: 441: 422: 416: 415: 404:chlorpromazine 397: 391: 390: 372: 366: 365: 354: 347: 346: 341: 328: 325: 305:thyrotoxicosis 236: 233: 180: 177: 165: 162: 160: 157: 127: 124: 107:("dance"; see 66: 65: 52: 46: 45: 37: 9: 6: 4: 3: 2: 1909: 1898: 1895: 1893: 1890: 1889: 1887: 1862: 1859: 1858: 1857: 1854: 1853: 1846: 1843: 1841: 1838: 1837: 1836: 1833: 1831: 1828: 1824: 1821: 1819: 1816: 1812: 1809: 1807: 1804: 1802: 1799: 1798: 1796: 1794: 1791: 1789: 1786: 1784: 1781: 1779: 1776: 1774: 1771: 1770: 1769: 1766: 1764: 1761: 1760: 1759: 1757: 1753: 1752: 1747: 1744: 1742: 1739: 1737: 1734: 1733: 1732: 1730: 1726: 1725: 1723: 1721: 1717: 1711: 1708: 1706: 1703: 1702: 1700: 1698: 1694: 1691: 1689: 1685: 1682: 1678: 1668: 1665: 1663: 1660: 1658: 1655: 1653: 1650: 1648: 1647:Reye syndrome 1645: 1643: 1640: 1639: 1637: 1633: 1627: 1624: 1622: 1619: 1615: 1612: 1610: 1607: 1605: 1602: 1600: 1599:Hydrocephalus 1597: 1596: 1595: 1592: 1591: 1589: 1587: 1583: 1571: 1567: 1566: 1565: 1562: 1561: 1559: 1555: 1549: 1545: 1543: 1540: 1538: 1535: 1534: 1532: 1530: 1526: 1520: 1516: 1514: 1511: 1509: 1506: 1504: 1501: 1500: 1498: 1496: 1492: 1486: 1482: 1480: 1477: 1475: 1472: 1470: 1467: 1466: 1464: 1462: 1458: 1454: 1451: 1449: 1443: 1437: 1433: 1431: 1428: 1426: 1423: 1421: 1418: 1417: 1415: 1413: 1412:Demyelinating 1409: 1399: 1396: 1395: 1393: 1391: 1387: 1381: 1378: 1377: 1376: 1375: 1369: 1366: 1364: 1361: 1357: 1354: 1353: 1352: 1348: 1345: 1341: 1338: 1334: 1331: 1330: 1329: 1326: 1325: 1324: 1321: 1320: 1318: 1316: 1312: 1306: 1303: 1301: 1300:Restless legs 1298: 1294: 1291: 1289: 1286: 1285: 1284: 1281: 1280: 1275: 1272: 1268: 1265: 1264: 1263: 1260: 1256: 1253: 1252: 1251: 1248: 1246: 1243: 1239: 1238:Blepharospasm 1236: 1234: 1231: 1229: 1226: 1224: 1221: 1220: 1219: 1216: 1215: 1214: 1211: 1210: 1205: 1202: 1200: 1197: 1195: 1194:Hemiballismus 1192: 1190: 1187: 1183: 1180: 1179: 1178: 1175: 1171: 1168: 1167: 1166: 1163: 1159: 1156: 1154: 1151: 1149: 1146: 1145: 1144: 1141: 1140: 1139: 1136: 1135: 1133: 1131: 1126: 1122: 1119: 1117: 1113: 1110: 1108: 1103: 1099: 1089: 1086: 1084: 1081: 1077: 1074: 1073: 1072: 1069: 1068: 1066: 1064: 1059: 1051: 1048: 1047: 1046: 1045:Brain abscess 1043: 1041: 1038: 1034: 1031: 1029: 1026: 1024: 1021: 1019: 1016: 1015: 1014: 1011: 1010: 1008: 1006: 1002: 999: 997: 993: 989: 985: 977: 972: 970: 965: 963: 958: 957: 954: 941: 937: 936: 932: 930: 926: 925: 921: 920: 917: 913: 906: 902: 901: 897: 895: 891: 890: 886: 884: 880: 879: 875: 871: 869: 865: 864: 860: 856: 855: 852: 847: 843: 837: 833: 832: 828: 827: 814: 812:9780791095867 808: 804: 803: 795: 787: 783: 779: 775: 774: 766: 758: 754: 750: 746: 743:(9): 1220–1. 742: 738: 731: 723: 719: 714: 709: 706:(6): 1216–7. 705: 701: 697: 690: 682: 678: 673: 668: 664: 660: 656: 649: 641: 637: 633: 629: 625: 621: 617: 613: 609: 605: 598: 590: 586: 582: 578: 574: 570: 567:(6): 360–73. 566: 562: 558: 551: 549: 547: 545: 543: 541: 532: 526: 522: 515: 511: 501: 498: 496: 493: 491: 490:Dancing mania 488: 486: 483: 482: 476: 474: 470: 455: 452: 451: 447: 444: 443: 439: 435: 431: 427: 426:penicillamine 423: 421: 418: 417: 413: 409: 405: 401: 398: 396: 393: 392: 388: 384: 383:valproic acid 380: 379:carbamazepine 376: 373: 371: 368: 367: 363: 362:Tetrabenazine 359: 355: 352: 349: 348: 345: 342: 340: 337: 336: 333: 324: 322: 321:gluten ataxia 318: 314: 310: 306: 302: 298: 294: 289: 287: 283: 279: 274: 271: 267: 265: 260: 256: 252: 250: 246: 242: 232: 230: 229:Rett syndrome 226: 222: 218: 214: 210: 206: 202: 198: 194: 193:prion disease 190: 186: 176: 174: 170: 156: 154: 150: 146: 142: 138: 134: 123: 121: 120:hemiballismus 117: 112: 110: 102: 101:Ancient Greek 98: 94: 90: 86: 82: 76: 72: 62: 56: 53: 51: 47: 42: 34: 30: 23: 19: 1855: 1754: 1727: 1688:Degenerative 1425:Inflammatory 1372: 1305:Stiff-person 1249: 1143:Parkinsonism 1116:Degenerative 1013:Encephalitis 996:Inflammation 986:, primarily 933: 922: 898: 887: 872: 857: 829: 801: 794: 780:(3): 381–2. 777: 771: 765: 740: 736: 730: 703: 699: 689: 662: 658: 648: 607: 603: 597: 564: 560: 520: 514: 466: 436:, and other 351:Huntington's 343: 338: 330: 290: 275: 268: 253: 238: 182: 167: 149:hyperkinetic 141:Parkinsonism 129: 126:Presentation 115: 113: 96: 84: 80: 79: 74: 1840:Fazio–Londe 1680:Both/either 1474:Generalised 1333:Early-onset 1328:Alzheimer's 1063:spinal cord 400:haloperidol 375:Haloperidol 95:. The term 93:dyskinesias 1886:Categories 1448:paroxysmal 1420:Autoimmune 1213:Dyskinesia 1083:Meningitis 1061:Brain and 935:Patient UK 900:DiseasesDB 506:References 387:antibiotic 116:hemichorea 1445:Episodic/ 1323:Tauopathy 1274:Akathisia 1262:Myoclonus 1245:Athetosis 1177:Tauopathy 924:eMedicine 836:eMedicine 624:1468-2982 438:chelating 344:Treatment 327:Treatment 207:(DRPLA), 185:phenocopy 173:cognitive 133:athetosis 114:The term 55:Neurology 50:Specialty 1811:SMALED2B 1806:SMALED2A 1503:Migraine 1495:Headache 1461:epilepsy 1457:Seizures 1315:Dementia 1218:Dystonia 929:neuro/62 681:15825133 632:24728303 589:31059440 581:18024776 495:Stimming 479:See also 412:pimozide 408:diazepam 353:-related 293:CSF leak 278:levodopa 1823:SMA-PME 1818:SMA-PCH 1801:SMALED1 1513:Tension 1508:Cluster 1233:Meige's 1050:Amoebic 894:D002819 786:7078886 722:4643046 640:3100453 463:History 440:agents 410:, also 153:ballism 145:ballism 109:choreia 85:choreia 29:Choreia 22:Cholera 1542:Stroke 1356:Pick's 1283:Tremor 1250:Chorea 940:Chorea 809:  784:  757:472859 755:  720:  679:  638:  630:  622:  587:  579:  527:  264:PANDAS 195:, the 159:Causes 137:ataxia 105:χορεία 97:chorea 81:Chorea 57:  44:Chorea 1856:both: 1788:DSMA1 1783:SMAX2 1778:SMAX1 1758:only: 1731:only: 1635:Other 1557:Other 1469:Focal 1102:Brain 1005:Brain 905:16662 883:333.5 868:G25.5 636:S2CID 585:S2CID 18:Korea 1459:and 1170:PKAN 1165:NBIA 889:MeSH 878:9-CM 807:ISBN 782:PMID 753:PMID 718:PMID 677:PMID 628:PMID 620:ISSN 577:PMID 525:ISBN 381:and 339:Form 319:and 303:, 284:and 227:and 83:(or 1773:SMA 1756:LMN 1729:UMN 1720:MND 1586:CSF 1537:TIA 1182:PSP 1158:NMS 1127:and 988:CNS 874:ICD 859:ICD 834:at 745:doi 708:doi 667:doi 663:128 612:doi 569:doi 500:Tic 288:). 245:HIV 122:). 20:or 1888:: 1697:SA 1204:OA 1199:HD 1148:PD 938:: 927:: 903:: 892:: 881:: 866:: 863:10 778:59 776:. 751:. 741:72 739:. 716:. 704:81 702:. 698:. 675:. 661:. 657:. 634:. 626:. 618:. 608:34 606:. 583:. 575:. 563:. 559:. 539:^ 475:. 432:, 428:, 402:, 377:, 323:. 315:, 311:, 307:, 299:, 295:, 280:, 266:. 251:. 231:. 223:, 219:, 215:, 211:, 203:, 103:: 1349:/ 1104:/ 975:e 968:t 961:v 876:- 861:- 851:D 815:. 788:. 759:. 747:: 724:. 710:: 683:. 669:: 642:. 614:: 591:. 571:: 565:7 533:. 35:. 24:.

Index

Korea
Cholera
Choreia
Chorea (disambiguation)
Specialty
Neurology
Edit this on Wikidata

movement disorder
dyskinesias
Ancient Greek
choreia
hemiballismus
athetosis
ataxia
Parkinsonism
ballism
hyperkinetic
ballism
Huntington's disease
cognitive
phenocopy
Huntington's disease-like syndrome
prion disease
spinocerebellar ataxias
neuroacanthocytosis
dentatorubral-pallidoluysian atrophy
brain iron accumulation disorders
Wilson's disease
benign hereditary chorea

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