HEMICHOREA: AN UNUSUAL MANIFESTATION OF THYROTOXICOSIS

Authors

  • Raghavendra Rao S
  • Shubha Seshadri
  • Karthik Rao N
  • Navin Patil
  • Sushil Kiran Kunder
  • A Avinash

Abstract

ABSTRACT
Chorea is usually associated with neurological diseases. However, it can also be seen in patients with systemic lupus erythematosus (SLE), rheumatic
fever (Sydenham's chorea), polycythemia vera, and thyrotoxicosis. Here, we report an interesting case of hemichorea in a 32-year-old lady, who
presented with acute onset of jerky, non-repetitive involuntary movements of the left upper and lower limbs. After detailed evaluation, she was found
to have thyrotoxicosis. Thyroid Tc-scan showed diffuse uptake suggesting Grave's disease. A magnetic resonance imaging of the brain was normal.
Other causes of chorea like SLE and rheumatic fever were excluded. She was started on carbimazole. On follow-up after 6 weeks of therapy, there was
the complete disappearance of chorea, and her thyroid hormone levels were normal.
Keywords: Extrapyramidal syndrome, Hyperthyroidism, Corpus striatum, Dancing movements.

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References

REFERENCES

Huntington G. Classic articles on chorea. J Neuropsychiatry Neurosci

;15(1):109-12.

Sudo K, Tashiro K. Hyperthyroidism-associated chorea. Lancet

;352(9123):239.

Javaid A, Hilton DD. Persistent chorea as a manifestation of

thyrotoxicosis. Postgrad Med J 1988;64(756):789-90.

McMenemy W. Huntington’s chorea. In: Greenfield JC, McMenemy W,

Norman MG, editors. Neuropathology. London: Edward Arnold; 1958.

p. 475-521.

Klawans HL Jr, Shenker DM. Observations on the dopaminergic nature

of hyperthyroid chorea. J Neural Transm 1972;33(1):73-81.

Sutherland GA. Chorea and Grave’s disease. Brain 1903;26:210.

Fidler SM, O’Rourke RA, Buchsbaum HW. Choreoathetosis as a

manifestation of thyrotoxicosis. Neurology 1971;21(1):55-7.

Published

01-03-2016

How to Cite

Rao S, R., S. Seshadri, K. Rao N, N. Patil, S. K. Kunder, and A. Avinash. “HEMICHOREA: AN UNUSUAL MANIFESTATION OF THYROTOXICOSIS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 9, no. 2, Mar. 2016, p. 1, https://mail.innovareacademics.in/journals/index.php/ajpcr/article/view/9521.

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