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CHOREA

CHOREA: Excerpt from Differential Diagnosis in Primary Care

The causes of this symptom lend themselves easily to recall. Simply remember the word VINDICATE. There are usually just one or two diseases for each letter.

1. V—Vascular suggests an infarct of the subthalamic nucleus, which produces hemiballism.
2. I—Inflammatory lesions suggest the various forms of viral encephalitis.
3. N—Neoplasms of the brainstem include gliomas and metastatic carcinoma.
4. D—Degenerative disease suggests Huntington chorea.
5. I—Intoxication suggests Wilson disease, phenothiazine, lead or manganese toxicity, and carbon monoxide poisoning.
6. C—Congenital chorea suggests the chorea of cerebral palsy.
7. A—Autoimmune disease suggests the Sydenham chorea of rheumatic fever.
8. T—Trauma suggests chorea from concussion, basilar skull fracture, or intracerebral hematoma.
9. E—Endocrine and Epilepsy suggest the possibility that the chorea is related to an epileptic focus. The hyperkinesis of hyperthyroidism sometimes stimulates chorea.

The workup of chorea is similar to the workup of tremor (see page 521).

Book Source Details

• Book Title: Differential Diagnosis in Primary Care
• Author(s): R. Douglas Collins
• Year of Publication: 2007
• Copyright Details: Differential Diagnosis in Primary Care, Copyright © 2007 Lippincott Williams & Wilkins.

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Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

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More About This Book: Title: Differential Diagnosis in Primary Care Authors: R. Douglas Collins Publisher: Lippincott Williams & Wilkins Copyright: 2007 ISBN: 0-7817-6812-8

 » Next page: Wilson's disease (Professional Guide to Diseases (Eighth Edition))

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