SYDENHAM’S CHOREA

(St. Vitus’ dance, Chorea minor)

DEFINITION

SYDENHAM’S CHOREA is an acute episode of involuntary movement, due to a lesion in the basal ganglia associated with acute rheumatism.

AETIOLOGY

Contraceptive pills, pregnancy and mental stress often e precipitate the attack. It is common in temperate climate and in white races. Heredity and left-handedness also play some part. Acute rheumatism is associated with the vast majority of cases but arthritis is usually absent. Pathologically diffuse inflammation of midbrain in seen.

CLINICAL FEATURES

Onset is insidious.

Age 5-15 years.

Sex Common in females.

Psychic changes are initially noted.

The involuntary movements consist of irregular jerky, nonrepetitive quasipurposive movements which may be violent during emotional upsets. The face, tongue and all four limbs may be affected. Muscular tone and jerks are lost. Sometimes there may be subjective weakness of muscles (chorea mollis). If the hands are held forwards with palm down a characteristic flexion of wrist with hyperextension of all finger joints is seen. A peculiar jaunty gait is seen and speech may be affected. Fever is usually absent and ESR is normal but both may alter in presence of carditis. Antistreptolysin 0 litre is normal. Sometimes the same diseased process may reappear in adult life particularly during pregnancy which is called Chorea gravidarum.

PROGNOSIS

Recovery usually occurs within several weeks or months.

TREATMENT OF SYDENHAM’S CHOREA

1. Rest in bed in a railed cot is preferred.

2. Injuries

3. Tranquillisers or sedatives are also helpful. are to be prevented.

4. Prophylactic treatment with antibiotics as in Rheumatic fever for a long time (upto 20 years of age) may be useful in preventing further streptococcal infection.

SYDENHAM’S CHOREA

THANKS for reading our post..and thanks again for visiting our post. we are continuously uploaded medical related posts. stay with us for more posts, thank you. BUTANOBLOG.COM

Recent Posts

  • Beauty and Health
  • Diseases
  • Fitness
  • Health
  • Nutrition
  • Others
  • Yoga

FEMALE FITNESS

https://butanoblog.com/ The most important member of a family is the housewife. He lives as a pillar of a family. Women…

3 weeks ago
  • Respiratory Diseases

OTHER TYPES SPECIFIC PNEUMONIAS

Staphylococcal Pneumonia It may be a primary respiratory infection or secondary to staphylococcal focus anywhere in the body. It is…

3 months ago
  • Respiratory Diseases

ACUTE LOBAR PNEUMONIA

It is the commonest of all specific pneumonias. AETIOLOGY Predisposing causes Age: All ages but 50% of cases are below…

3 months ago
  • Respiratory Diseases

CHRONIC BRONCHIAL ASTHMA

DEFINITION OF CHRONIC BRONCHIAL ASTHMA BRONCHIAL ASTHMA is a chronic reversible inflammatory destructive disease of the airways characterised by recurrent…

3 months ago
  • Respiratory Diseases

BRONCHIECTASIS SINGS

DEFINITION BRONCHIECTASIS SINGS is a condition of permanent abnormal dilatation of the larger bronchi. AETIOLOGY AND PATHOGENESIS Acquire Obstruction Obstruction…

3 months ago
  • Respiratory Diseases

CHRONIC BRONCHITIS PATIENT

DEFINITION OF CHRONIC BRONCHITIS PATIENT Chronic bronchitis may be defined as a disease characterised by cough and sputum for at…

3 months ago