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Pediatric emergency care · Jan 2014
Case ReportsAcute-onset choreiform movements in a previously healthy 4-year-old patient.
- Gordon J Cohen, Aylin Tekes, and Thuy L Ngo.
- From the *Department of Pediatrics, and †Division of Pediatric Radiology, Johns Hopkins School of Medicine, Baltimore, MD.
- Pediatr Emerg Care. 2014 Jan 1;30(1):31-4.
AbstractWe 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.
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