Pediatric Emergency Care

Skip Navigation LinksHome > January 2014 - Volume 30 - Issue 1 > Acute-Onset Choreiform Movements in a Previously Healthy 4-Y...
Pediatric Emergency Care:
doi: 10.1097/PEC.0000000000000032
Illustrative Cases

Acute-Onset Choreiform Movements in a Previously Healthy 4-Year-Old Patient

Cohen, Gordon J. MD, MPH*; Tekes, Aylin MD; Ngo, Thuy L. DO, MEd*

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Abstract

Abstract: We report the case of 4-year-old male with sinus venous thrombosis leading to bilateral thalamic and basal ganglia strokes presenting as generalized choreiform movements. Acute-onset chorea in the pediatric population is most commonly associated with Sydenham chorea, which is a manifestation of acute rheumatic fever. Chorea is a much less commonly noted sign of stroke, and when it occurs, it typically presents as hemichorea. Given the unlikely presentation, rapid and appropriate imaging was the key to diagnosis.

© 2014 Lippincott Williams & Wilkins, Inc.

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