Presentation
There is a widely held belief that most patients presenting with senile chorea have late-onset Huntington's disease (HD) with an unknown family history. [ncbi.nlm.nih.gov]
We measured CAG trinucleotide repeat expansion in the HD gene in four patients with a clinical presentation of senile chorea and found that CAG repetition lengths were normal. [n.neurology.org]
It presents a broad overview of age-related physiological changes as well as specific professional discipline perspectives. [books.google.de]
Mestre Medicine Continuum 2016 The clinical approach to the diagnosis of adult patients presenting with chorea, using Huntington disease (HD) as a point of reference, is reviewed and the clinical elements that help in the diagnostic workup are presented [semanticscholar.org]
Entire Body System
- Movement Disorder
[…] for each chapter Handy and comprehensive, A Practical Approach to Movement Disorders is the only guide for busy clinicians needing quick information on movement disorders. [books.google.de]
The Handbook of Clinical Neurology Vol 100: Hyperkinetic Movement Disorders discusses hyperkinetic disorders related mainly to basal ganglia dysfunction and pathology. [books.google.com]
Hyperkinetic psychogenic movement disorders Index [elsevier.com]
(disorder)|Henoch chorea|Henoch's chorea|Henoch's chorea (disorder)|Kinesiogenic choreoathetosis|Kinesiogenic choreoathetosis (disorder)|Neuroacanthocytosis|O/E - choreiform movement|On examination - choreiform movement|On examination - choreiform movement [averbis.com]
- Fever
Chorea occurs as a symptom in approximately 20% of cases of acute rheumatic fever. Choreic movements may arise during an attack of rheumatic fever, or they may occur days, weeks or even months afterwards. [news24.com]
Chorea Huntington's disease, thyrotoxicosis, SLE affecting the CNS, rheumatic fever, tumors or infarcts of the caudate nucleus Pregnancy, often in women who had rheumatic fever Age > 60 (as senile chorea) Drugs (eg, antipsychotics) Movements are nonrhythmic [med-info.nl]
Motor symptoms Muscle weakness Motor impersistence Neuropsychiatric symptoms (e.g., inappropriate laughing/crying, obsessive-compulsive behavior ) Atypical symptoms: fever, fatigue, malaise Diagnosis of rheumatic fever (e.g., ↑ CRP ) Wilson's disease [amboss.com]
- Disability
Please enable JS and disable any ad blocker [psychiatrictimes.com]
Yébenes Medicine, Psychology European journal of neurology 1995 A significant correlation was found between functional disability and motor‐cognitive decline; correlation was stronger for motor (akinesia), chorea, chorea and chorea scores than for cognitive [semanticscholar.org]
Dyskinesia and Hemolytic Anemia Paroxysmal Tonic Upgaze, Benign Childhood, with Ataxia progressive supranuclear palsy + Pronation-Supination Of The Forearm, Impairment Of Psychomotor Agitation + Stiff-Person syndrome syndromic X-linked intellectual disability [rgd.mcw.edu]
These may co-exist with classic TD symptoms, but may represent separate subtypes with increased risk of progression, persistence, and severe disability. [mdedge.com]
- Infertility
Immune Thrombocytopenic Purpura 277 Impotence 278 Incontinence Fecal 279 Infertility Male 280 Influenza 281 Interstitial Cystitis 282 Intracranial Lesion 283 Irritable Bowel Syndrome 284 Ischemic Colitis Nonocclusive 285 Jaundice 286 Jaundice in the Adult [books.google.de]
IgA nephropathy Immunization schedule Immunosuppressants Impetigo Inborn errors of carbohydrate metabolism Inborn errors of metabolism Incomplete spinal cord syndromes Infection prevention and control Infectious mononucleosis Infective endocarditis Infertility [amboss.com]
Musculoskeletal
- Restless Legs Syndrome
Tourette syndrome and other tic disorders Section 13 Other syndromes 47. Restless legs syndrome 48. Hemifacial spasm 49. Wilson’s disease 50. Task-specific tremor 51. Hyperkinetic psychogenic movement disorders Index [elsevier.com]
legs syndrome G25.82 Stiff-man syndrome Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]
These disorders include Parkinson’s disease and restless legs syndrome. Some medications block dopamine receptors so your body can’t use the chemical. Many of these are antipsychotic drugs that seem to reduce chorea. [healthline.com]
Restless Legs Syndrome Restless legs syndrome (RLS) is a condition in which a patient feels an uncontrollable urge to move the legs at night, usually accompanied by an uncomfortable and unpleasant sensation of the legs that worsens with inactivity and [geriatricscareonline.org]
legs syndrome Retinal detachment Retinal vessel occlusion Retinoblastoma Retroperitoneal fibrosis Rhabdomyolysis and crush syndrome Rheumatic fever Rheumatoid arthritis Rhinitis Rosacea Roseola infantum Rotavirus infection Rubella Sarcoidosis Scabies [amboss.com]
Psychiatrical
- Suggestibility
Chorea was thought suggestive of a grotesque dance. [medicine.academic.ru]
Deep brain field potential recordings and functional imaging using single photon emission tomography enabled us to suggest pathophysiological mechanisms for the symptoms. [ncbi.nlm.nih.gov]
Chorea was thought suggestive of a grotesque dance. The term "chorea" is derived from the Greek word "choreia" for dancing (as is choreography). [medicinenet.com]
Key features include: Symptom-based, rather than disease-based, chapters A focus on the most common movement disorders A unique section on the neurological aspects of deep brain stimulation (DBS) Dozens of diagnostic and management pearls Suggested readings [books.google.de]
Face, Head & Neck
- Facial Grimacing
The symptoms vary in severity--from mild cases in which there is restlessness, facial grimacing, and a slight degree of incoordination of movements, to severe cases involving involuntary movements that incapacitate the child. 1 Causes of Chorea Senile [streetdirectory.com]
Neurologic
- Chorea
Look at other dictionaries: Chorea minor — Klassifikation nach ICD 10 I02.0 Rheumatische Chorea mit Herzbeteiligung I02.9 Rheumatische Chorea ohne Herzbeteiligung … Deutsch Wikipedia chorea — choreal, choreic, choreatic /kawr ee at ik, kohr /, adj. choreoid [medicine.academic.ru]
Chronic Progressive Chorea Chronic Progressive Choreas Progressive Chorea, Chronic Progressive Choreas, Chronic Chorea, Rheumatic Choreas, Rheumatic Rheumatic Choreas Sydenham's Chorea Chorea, Sydenham's Sydenhams Chorea St. [ncbi.nlm.nih.gov]
Drug-induced chorea Lithium, antiepileptic agents, stimulants, L-dopa, estrogen Pregnancy Rare; increased risk with history of Sydenham chorea Polycythemia vera Chorea in 0.5-5% of cases Senile chorea Late onset; may be clinically indistinguishable from [medical-dictionary.thefreedictionary.com]
- Involuntary Movements
Pathol. 1. any of several diseases of the nervous system characterized by jerky, involuntary movements, chiefly of the… … Universalium Chorea — Ceaseless rapid complex body movements that look well coordinated and purposeful but are, in fact, involuntary [medicine.academic.ru]
Athetosis is a continuous stream of slow, flowing, writhing involuntary movements. It usually affects the hands and feet. Hemiballismus is a type of chorea, usually involving violent, involuntary flinging of one arm and/or one leg. [msdmanuals.com]
Confirming the diagnosis TD presents as a polymorphous involuntary movement disorder, 5 - 8 most often with nonrhythmic, repetitive, purposeless hyperkinetic symptoms. [mdedge.com]
|Disorder presenting primarily with chorea (disorder)|Dubini chorea|Dubini's chorea|Dubini's chorea (disorder)|Dubini's disease|Electric chorea|Electric chorea (disorder)|Hemiballism|Hemiballism (abnormal involuntary movements)|Hemiballism (disorder)| [averbis.com]
The remaining chapters focus on the abnormal involuntary movements associated with each disease or syndrome. [books.google.com]
- Dystonia
Primary Dystonias Idiopathic Torsion Dystonia (ITD), or Oppenheim's dystonia, is an autosomal dominant condition of variable penetrance seen most commonly in juvenile patients of Ashkenazi Jewish descent. [stanfordmedicine25.stanford.edu]
Dystonias A dystonia is a sustained muscle contraction, frequently causing repetitive twisting movements or abnormal postures [ 1, 2 ]. [patient.info]
including dystonia plus syndromes. [books.google.com]
Orthostatic tremor – a review Section 10 Dystonia 36. Early-onset primary dystonia 37. Adult-onset dystonia 38. Nonprimary dystonias 39. Dopa-responsive dystonia 40. Rapid-onset dystonia-parkinsonism 41. [elsevier.com]
Numerous other examples of this form of focal dystonia occur, particularly in musicians and sportsmen. [academic.sun.ac.za]
- Tremor
[…] include Wilson's Disease and severe essential tremor (ET is usually postural but when servere can be seen at rest or even with movement) Resting Tremor Postural Tremor Action Tremor Description Tremor when skeletal muscle is at rest. [stanfordmedicine25.stanford.edu]
TREMOR Tremor is a universal phenomenon. The description of tremors often relies on an assessment of the tremor frequency: this is hard to judge with the naked eye. [academic.sun.ac.za]
Tremor See also the separate Tremor article. This is a rhythmic movement of part of the body. Essential tremor and Parkinsonian tremor are the most common forms of tremo. [ 16 ]. [patient.info]
Startle syndromes Section 9 Essential tremor 33. Essential tremor 34. Management of essential tremor, including medical and surgical approaches 35. Orthostatic tremor – a review Section 10 Dystonia 36. Early-onset primary dystonia 37. [elsevier.com]
unspecified 2016 2017 2018 2019 Billable/Specific Code Type 1 Excludes chorea NOS ( G25.5 ) essential tremor ( G25.0 ) hysterical tremor ( F44.4 ) intention tremor ( G25.2 ) ICD-10-CM Diagnosis Code I02 Rheumatic chorea 2016 2017 2018 2019 Non-Billable [icd10data.com]
- Myoclonus
Physiologic myoclonus is often normal in people, for example myoclonic jerks during sleep transitions. Epileptic myoclonus referred to myoclonus in the setting of epilepsy. [stanfordmedicine25.stanford.edu]
Myoclonus Zie: Myoclonus Nonrhythmic, rapid, nonsuppressible, shocklike twitches occur, sometimes in multiple muscles simultaneously. [med-info.nl]
Anti-epileptic drugs (eg, valproate, levetiracetam and piracetam) are effective in cortical myoclonus but less so in others. Clonazepam may be helpful with all types of myoclonus. Botulinum toxin may be useful for segmental myoclonus. [patient.info]
Birth-related syndromes of athetosis and kernicterus Section 8 Myoclonus 31. Myoclonus 32. Startle syndromes Section 9 Essential tremor 33. Essential tremor 34. Management of essential tremor, including medical and surgical approaches 35. [elsevier.com]
SECTION 8 - Myoclonus. SECTION 9 - Essential Tremor. SECTION 10 - Dystonia. SECTION 11 - Tardive Dyskinesia. SECTION 12 - Tics. SECTION 13 - Other Syndromes. [libreriacortinamilano.it]
Workup
ADLs Inability to Initiate Meaningful Activities Anxiety Spatial Disorientation Rejection of Care Food Refusal Insomnia Apathy and Agitation Elopement and Interference with Others References Introduction Epidemiology Challenges in Geriatric Psychiatry WorkUp [books.google.com]
Mestre Medicine Continuum 2016 The clinical approach to the diagnosis of adult patients presenting with chorea, using Huntington disease (HD) as a point of reference, is reviewed and the clinical elements that help in the diagnostic workup are presented [semanticscholar.org]
Treatment
Physical Therapy Surgery References Introduction Effects of Ageing and Related Diseases on Endocrine Diseases The Hormonal Fountain of Youth References Introduction Water Homeostasis in the Elderly Workup and Treatment of Hyponatraemia Workup and Treatment [books.google.com]
Schrag Medicine Journal of Neurology 1998 The symptomatic treatment of chorea is unsatisfactory and, at least in HD, neuropsychiatric disturbance may be much more important for the family, and potential disease-modifying treatments are now being explored [semanticscholar.org]
Form Treatment Huntington's-related A common treatment is dopaminergic antagonists, although treatment is largely supportive. Tetrabenazine is the only FDA approved drug for the treatment of Huntington's disease-related chorea. [en.wikipedia.org]
Symptoms And Treatment Of Overdose: Symptoms Signs and symptoms of overdosage may include drowsiness, sweating, hypotension and hypothermia. Treatment: Treatment is symptomatic. [rxmed.com]
Prognosis
Prognosis The prognosis of chorea depends on its cause. Huntington's chorea is incurable, leading to the patient's death 10 – 25 years after the first symptoms appear. [encyclopedia.com]
What is the prognosis of chorea? The outlook of chorea depends on its cause. Syndenham chorea can be resolved using antibiotics. On average, patients will recover within 1 to 6 months. [medic8.com]
References: [4] [17] Prognosis [amboss.com]
Medications Information Brand Generic Label Zoloft Sertraline Lioresal Baclofen Pamelor (Nortriptyline), Prozac (Fluoxetine), Zyprexa (Olanzapine), Klonopin (Clonazepam), Geodon (Ziprasidone), Symmetrel (Amantadine) Predicted outcome The prognosis is [nmihi.com]
Etiology
[…] options Subheadings: analysis anatomy and histology blood cerebrospinal fluid chemically induced classification complications congenital cytology diagnosis diagnostic imaging diet therapy drug therapy economics embryology enzymology epidemiology ethnology etiology [ncbi.nlm.nih.gov]
Here, we report a typical case of ’senile chorea’ associated with PAPS, thus expanding the potential underlying etiologies and further narrowing the window of primary ’senile chorea’. [kns.cnki.net]
Although the most common etiologies are vascular and metabolic disorders, neuroacanthocytosis, Wilson and Huntington diseases are included in the differential diagnosis. [tjn.org.tr]
Tourette's syndrome, Meige syndrome, primary dystonias, Ekbom syndrome (restless legs), spontaneous dyskinesias associated with aging (senile chorea), edentulous chorea (a) Etiology Comments Tardive dyskinesia Common, especially secondary to antipsychotic [medical-dictionary.thefreedictionary.com]
Chorea gravidarum Hyperthyroidism Birth control pills Hyperosmolar nonketotic hyperglycemic encephalopathy Vascular Hemichorea/hemiballismus with subthalamic nucleus lesion Post-pump choreoathetosis after cardiac surgery Periarteritis nodosa Unknown etiology [neupsykey.com]
Epidemiology
Homes Successful Ageing Future Research Introduction Developments in the UK 20052010 Services Patients Views and Involvement Additional Responsibilities for Geriatric Psychiatry Services Other Issues An International Perspective References Introduction Epidemiology [books.google.com]
PubMed search builder options Subheadings: analysis anatomy and histology blood cerebrospinal fluid chemically induced classification complications congenital cytology diagnosis diagnostic imaging diet therapy drug therapy economics embryology enzymology epidemiology [ncbi.nlm.nih.gov]
Epidemiology Sex : ♂ = ♀ Peak incidence : ∼ 40 years of age HD is one of the most common hereditary diseases of the brain. References: [1] [2] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
Epidemiology of tardive dyskinesia before and during the era of modern antipsychotic drugs 44. Unusual focal dyskinesias Section 12 Tics 45. Stereotypic movement disorders 46. Tourette syndrome and other tic disorders Section 13 Other syndromes 47. [elsevier.com]
Epidemiology of multiple scle-rosis in northwestern Sardinia: further evidence for higher frequency in Sar-dinians compared to other Italians. Neuroepidemiology 1996;15:10-9.16. Bufill E, Blesa R, Galan I, Dean G. [docslide.net]
Pathophysiology
Deep brain field potential recordings and functional imaging using single photon emission tomography enabled us to suggest pathophysiological mechanisms for the symptoms. [ncbi.nlm.nih.gov]
[…] of the Ageing Bladder Special Disease States Pharmacology as it Relates to the Ageing Bladder Surgical Disease of the Ageing Bladder Conclusion References Introduction Benign Prostatic Hyperplasia Prostate Cancer Prostatitis References Introduction Pathophysiology [books.google.com]
References: [3] Pathophysiology Summary : Molecular and cellular changes lead to neuronal loss and gliosis in the striatum (particularly in the caudate nucleus ) and, subsequently, the thalamus and the cortex Involvement of direct cytotoxic effects Disturbance [amboss.com]
The exact pathophysiology of HCHB is unknown, but focal microhemorrhage, ischemic injury, hyperglycemia, hyperviscosity, and mineralization have been suggested in radiological and pathological studies. 7 Most cases were associated with hyperglycemia and [e-jmd.org]
Conclusion Chorea can be due to a multitude of disorders with a wide variety of pathophysiologies. [movementdisorders.org]
Prevention
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]
Prevention Because there is no “gold standard” treatment for TD, it is important to minimize the risk of TD by taking preventive measures and detecting incipient signs of the disorder. [mdedge.com]
[…] imaging diet therapy drug therapy economics embryology enzymology epidemiology ethnology etiology genetics history immunology metabolism microbiology mortality nursing organization and administration parasitology pathology physiology physiopathology prevention [ncbi.nlm.nih.gov]