A 24 year old right handed Pakistani woman who was eight weeks’ pregnant presented with a two day history of involuntary movements of her left arm, hand. According to Willson and Preece, the first description of chorea with onset during pregnancy (chorea gravidarum) was made by Horstius in The English. A pregnant woman, in her early 20s, presents with chorea following an emotional outburst. While the family members feel it to be a spirit.

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Three weeks prior to admission in our hospital, she had fever, sore throat and migrating polyarthralgia involving her left wrist followed by left knee joint.

Chorea gravidarum: a rarity in West still haunts pregnant women in the East

Drug treatment is indicated for patients with severe disabling chorea. BSL compiled the case report and submitted it online. Sensory system and all cranial nerve examination were normal with flexor plantar response. From Wikipedia, the free encyclopedia. Sign in to make a comment Sign in to your personal account. National Center for Biotechnology InformationU.

[Chorea gravidarum].

This page was last edited on 13 Decemberat cuorea We discuss the diagnosis and management of this patient. There was no family history of Huntington disease and disease progression was also not suggestive of Huntington disease.

Post-streptococcal autoimmune disorders of the central nervous system.

It has been suggested that use of oral contraceptives is an infrequent cause of chorea. Background Chorea gravidarum is a rare movement disorder of pregnancy. The relation to rheumatic fever was strengthened by many studies that showed that women with normal pregnancies before rheumatic fever developed chorea in subsequent pregnancies.


It is treated with haloperidol[9] [10] [11] chlorpromazine alone or in combination with diazepamand also pimozidewhich is another neuroleptic drug which may have fewer adverse effects than haloperidol. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts.

Migraine Familial hemiplegic Cluster Tension. Encephalomyelitis Acute disseminated Myalgic Meningoencephalitis. Published online Jun This is a case of chorea gravidarum in third trimester of pregnancy with a normal fetal outcome. Chirea condition associated with anti-basal ganglia antibodies”.

Sign in to save your search Sign in to your personal account. She had choreioathetoid, purposeless, irregular and jerky movements bilaterally in her upper limbs.

Case Report: Chorea gravidarum: a rarity in West still haunts pregnant women in the East

Power and reflexes were normal in all four limbs. Create a personal account to register for email alerts with links to free full-text articles. Gestational pemphigoid Impetigo herpetiformis Intrahepatic cholestasis of pregnancy Linea cyorea Prurigo gestationis Pruritic folliculitis of pregnancy Pruritic urticarial papules and plaques of pregnancy PUPPP Striae gravidarum.

Discussion Chorea is an involuntary abnormal movement characterised by abrupt, brief, non-rhythmic and non-repetitive movement of any limb, often associated with non-patterned facial grimaces. Amniotic fluid embolism Cephalopelvic disproportion Dystocia Shoulder dystocia Gravidafum distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine xhorea Uterine rupture Vasa praevia.


Provenance and peer review: MP was the treating physician for the patient and performed detailed clinical examination.

The recurrences can occur in the subsequent pregnancies. Purchase access Subscribe now. Focal Generalised Status epilepticus Myoclonic epilepsy.

A patient developed this chorea with no definite evidence of previous Sydenham’s chorea or recent streptococcal infections, but had anti-basal gravidarmu antibodiessuggesting immunological basis for the pathophysiology of this chorea. The patient was fidgety. Not commissioned; externally peer reviewed.

The tongue was darting even at rest without patient being able to control it. She had four normal pregnancies more after, being the last the 10th of February of Sign in to customize your interests Sign in to your personal account.

Get free access to newly published articles. The choea in new cases of chorea gravidarum is probably the result of a decline in rheumatic fever which was a major cause prior to the era when antibiotics came into use for Streptococcal pharyngitis.

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