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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Chorea gravidarum is considered a syndrome rather than a specific disease entity.
History of either rheumatic fever or chorea is suspected: Retrieved from ” https: Purchase access Subscribe to JN Learning for one year.
Her symptoms had subsided after taking some antibiotics and analgesics from a local health centre. Patients with Sydenham’s chorea are at risk for the development of rheumatic carditis particularly mitral stenosis and to prevent this, a regimen of daily penicillin prophylaxis graviidarum be instituted and maintained. Create a free personal account to download free article Gravjdarum, sign up for alerts, and more. However, isolated cases still occur in the developing countries and obstetricians need to be aware of this rare manifestation.
Poliomyelitis Demyelinating disease Transverse myelitis Tropical spastic paraparesis Epidural abscess. Gestational pemphigoid Impetigo herpetiformis Intrahepatic cholestasis of pregnancy Linea nigra Prurigo gestationis Pruritic folliculitis of pregnancy Pruritic urticarial papules and plaques of pregnancy PUPPP Striae gravidarum.
Case Report: Chorea gravidarum: a rarity in West still haunts pregnant women in the East
There was no history of psychiatric illnesses in the past. Chorea can also be a manifestation of drug toxicity for example, anticonvulsantsantiparkinson agentsneurolepticssteroidsand estrogenor a result of an infectious disease such as meningovascular syphilisLyme diseaseviral encephalitisand many others.
However, she denied any history of taking long-term injectable penicillin for gavidarum same. Register for email alerts with links to free full-text articles Gravicarum PDFs of free articles Manage your interests Save searches and receive search alerts. It is associated with history of Sydenham’s chorea.
A 22 years-old patient, second pregnancy, without prenatal care, who was admitted to the labor at It is not an causal or pathologically distinct entity but a generic term for chorea of any cause starting during pregnancy.
Encephalomyelitis Acute disseminated Myalgic Meningoencephalitis. Copyright American Medical Association.
Chorea gravidarum – Wikipedia
D ICD – Sensory system and all cranial nerve examination were normal with flexor plantar response. The Journal of Pediatrics.
Post-streptococcal autoimmune disorders of the central nervous system.
Chorea gravidarum is a rare  type of chorea which presents with involuntary abnormal movement, characterized by abrupt, brief, nonrhythmic, nonrepetitive movement of any limb, often associated with nonpatterned facial grimaces.
Purchase access Subscribe to the journal. Degenerative SA Friedreich’s ataxia Ataxia-telangiectasia. On examination, patient was right-handed, afebrile, pale, conscious, oriented, emotionally labile but depressed.
Therefore, patients with chorea, even in the absence of other manifestations of rheumatic fever, require long-term antibiotic prophylaxis. It mostly occurs in young chorae the average age is 22 years. Differential diagnosis The differentials which were considered on history and examination were chorea gravidarum, systemic lupus erythematosus, primary anti-phospholipid antibodies, viral encephalitis, Huntington disease and Wilson disease.
Chorea in this chofea was helpful to the patient as she was started on penicillin prophylaxis which would prevent development of rheumatic gravidatum disease in future. Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy. Antistreptolysins antibodies ofPCR 1: A pregnant woman, in her early 20s, presents with chorea following an emotional outburst.
Archives of Internal Medicine. Drug treatment is indicated for patients with severe disabling chorea. She had four normal pregnancies more after, being the last the 10th of February of MP was the treating physician for the patient and performed detailed clinical examination.
Power and reflexes were normal in all four limbs. Pathology of pregnancychildbirth and the puerperium O— This finding, as well as the persistence of the movement disorder, uncommon in chorea gravidarum, 2 suggests that the chorea of the patient was related to some other cause, perhaps a stroke.
[Chorea gravidarum. A case report].
Provenance and peer review: While the family members feel it to be a spirit haunting her, we try to establish the yravidarum diagnosis of the present condition. Open in a separate window. Not commissioned; externally peer reviewed. She was discharged of the hospital four days later, having only abnormal movement in the right hand.