Abstract
An 18-year-old man suffered from acute Sydenham chorea appearing coincidently with β-haemolytic streptococcal throat infection. Imaging techniques documented lesions of basal ganglia and substantia nigra. In the early course of the disease vascular lesions may be important pathogenetic mechanisms of this acquired movement disorder.
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Colony HS, Malamund N (1956) Sydenham's chorea; a clinicopathologic study. Neurology 6:672–676
Ganji S, Duncan MC, Frazier E (1988) Sydenham's chorea: clinical, EEG, CT scan, and evoked potential studies. Clin Electroencephalogr 19:114–122
Gibbs FA, Gibbs EL (1964) Atlas of electroencephalography, vol 3: Neurological and psychiatric disorders. Addison-Wesley, Reading, Mass, pp 251–252
Greenberg LJ, Gray ED, Yunis EJ (1975) Association of HLA5 and immune responsiveness in vitro to streptococcal antigens. J Exp Med 141:935–943
Husby G, Van de Rijn I, Zabriskie JB, Abdin ZH, Williams RC Jr (1976) Antibodies reacting with cytoplasm of subthalamic and caudate nuclei neurons in chorea and acute rheumatic fever. J Exp Med 144:1094–1110
Kienzle GD, Breger RK, Chun RWM, Zupanc ML, Sackett JF (1991) Sydenham chorea: MR manifestations in two cases. AJNR 12:73–76
Lewy FH (1923) Die Histopathologie der Choreatischen Erkrankungen. Z Ges Neurol Psychiatr 85:632–657
Lindenberg R (1971) Systemic oxygen deficiencies. In: Minckler J (ed) Pathology of the nervous system, vol II. McGraw-Hill, New York, pp 1583–1617
Marie P, Tretiakoff C (1920) Examen histologique des centres nerveux dans un cas de chorée aigue de Sydenham. Rev Neurol (Paris) 36:428–437
Nausieda PA (1986) Sydenham's chorea. In: Vinken PJ, Bruyn GW, Klawans HL (eds) Handbook of clinical neurology, revised series 5: Extrapyramidal disorders. Elsevier, Amsterdam, pp 359–367
Okseter K, Sirnes K (1988) Chorea and lupus anticoagulant: a case report. Acta Neurol Scand 78:206–209
Stollerman GH (1975) Rheumatic fever and streptococcal infection. Grune & Stratton, New York
Tretiakoff C (1919) Contribution à l'étude de l'anatomie pathologique du locus niger de Soemmering. Paris
Von Santha K (1932) Über Gefäßveränderungen im Zentralnervensystem bei Chorea rheumatica. Virchows Arch 287:405–420
Ziegler LH (1927) The neuropathological findings in a case of acute Sydenham's chorea. J Nerv Ment Dis 65:273–281
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Heye, N., Jergas, M., Hötzinger, H. et al. Sydenham chorea: clinical, EEG, MRI and SPELT findings in the early stage of the disease. J Neurol 240, 121–123 (1993). https://doi.org/10.1007/BF00858729
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DOI: https://doi.org/10.1007/BF00858729