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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A pregnant woman, in her early 20s, presents with chorea following an emotional outburst. Create a free personal account to download free article PDFs, sign up for alerts, and more.

[Chorea gravidarum].

Pregnancy is the time of changing hormonal milieu, it can lower the threshold for chorea and emotional outburst can precipitate it. Chorea gravidarum is a rare movement disorder of pregnancy.

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. Though the exact aetiology remains unknown, prompt diagnosis and treatment reduces maternal morbidity and prevents any complication. Insomnia Hypersomnia Sleep apnea Obstructive Congenital central hypoventilation syndrome Narcolepsy Cataplexy Kleine—Levin Circadian rhythm sleep disorder Advanced sleep phase disorder Delayed sleep phase disorder Nonhour sleep—wake disorder Jet lag.

Restricted unilateral Sydenham’s chorea: The English translation of the Latin work provided in their article, however, indicates that the woman described by Horstius in fact developed chorea at the puerperium. The first and second trimesters of her pregnancy had been uneventful.

There were no cerebellar signs and signs of meningeal irritation. 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.


Antistreptolysins antibodies ofPCR 1: She was discharged of the hospital four days later, having only abnormal movement in the right hand. There was no family history of any neurological disease. Focal Generalised Status epilepticus Myoclonic epilepsy. There was no family history of Huntington disease and disease progression was also not suggestive of Huntington disease.

Gestational thrombocytopenia Pregnancy-induced hypercoagulability. However, she is still seen on follow-up and is on penicillin prophylaxis to prevent rheumatic heart disease.

Sign in to access your subscriptions Sign in to your personal account. Group A streptococcal infection induces antibodies against the host neural tissues by a phenomenon called molecular mimicry. A 22 years-old patient, second pregnancy, without prenatal care, who was admitted to the labor at National Center for Biotechnology InformationU.

[Chorea gravidarum. A case report].

She had choreioathetoid, purposeless, irregular and jerky movements bilaterally in her upper limbs. Ectopic pregnancy Choreea pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Breastfeeding difficulties Low milk supply Cracked nipples Breast engorgement Childbirth-related posttraumatic stress disorder Diastasis symphysis pubis Postpartum bleeding Peripartum cardiomyopathy Postpartum depression Postpartum psychosis Postpartum thyroiditis Puerperal fever Puerperal mastitis.

Brain Encephalitis Viral encephalitis Herpesviral encephalitis Limbic encephalitis Encephalitis lethargica Cavernous sinus thrombosis Brain abscess Amoebic. The patient was fidgety. The slit-lamp examination and copper estimation helped exclude Wilson disease. Laboratory investigations did not reveal anything interesting. Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy.

Chorea gravidarum is a rare [1] type of chorea which presents with involuntary abnormal movement, characterized by abrupt, cuorea, nonrhythmic, nonrepetitive movement of any limb, often associated with nonpatterned facial grimaces. The patient was constantly trying to cover her head with her cloth each time she was having choric movements.


[Chorea gravidarum. A case report].

Privacy Policy Terms of Use. Gravidarumm chorea is one of the three circumstances in which the diagnosis of acute rheumatic fever can be made without strict adherence to the Jones criteria. Chorea gravidarum is an uncommon condition characterized by involuntary movements, speaking alterations choeea in the affective status during first trimester pregnancy, the incidence is 1 by each pregnancies, it is self limiting and resolves when the pregnancy ends, most of the cases are idiopathic and the rest is associated to the antiphospholipid syndrome, rheumatic fever, thyrotoxicosis, systemic lupus erythematosus, syphilis, Huntington disease or induced by drugs.

Open in a separate window. The corea was darting even at rest without patient being able to control it. Power and reflexes were normal in all four limbs. 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.

Purchase access Subscribe to the journal. The patient was admitted in a quiet isolated ward and given one dose of benzathine penicillin, iron and calcium supplements were given along with multivitamins.

Patients with Sydenham’s chorea are at risk for the development of rheumatic carditis particularly mitral stenosis and to prevent this, chorae regimen of daily penicillin prophylaxis should be instituted and maintained.

She had no antenatal health check-ups in this pregnancy. 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.