European Child & Adolescent Psychiatry

, Volume 16, Issue 1, pp 67–69 | Cite as

Psychosis following acute Sydenham’s chorea

  • Antônio Lúcio TeixeiraJr.
  • Débora Palma Maia
  • Francisco Cardoso


Sydenham’s chorea (SC) is characterized by motor, mainly choreic involuntary movements, and psychiatric symptoms, including anxiety, depression, obsessive–compulsive and attention-deficit/hyperactivity disorders. Symptoms of SC may be considered as the result of basal ganglia dysfunction determined by autoimmune mechanisms elicited by streptococcal infection. We report on a case of a 13-year-old boy with brief psychotic episode following acute SC. His hallucinations and delusions remitted after treatment with risperidone, paralleling motor improvement. The neurobiological basis of psychotic symptoms remains largely elusive. This case report provides further insight about the involvement of basal ganglia dysfunction on psychosis.


Sydenham’s chorea psychosis basal ganglia 


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Copyright information

© Steinkopff Verlag Darmstadt 2006

Authors and Affiliations

  • Antônio Lúcio TeixeiraJr.
    • 1
    • 2
    • 3
  • Débora Palma Maia
    • 2
  • Francisco Cardoso
    • 1
  1. 1.Dept. of Internal Medicine, Faculty of MedicineFederal University of Minas GeraisBelo HorizonteBrazil
  2. 2.Movement Disorders Clinic, University HospitalFederal University of Minas GeraisBelo HorizonteBrazil
  3. 3.Depto. de Clínica Médica, Faculdade de MedicinaUFMGSanta EfigêniaBrazil

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