Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature review
Chorea, a hyperkinetic syndrome, is generally reported in patients with Huntington's disease (HD), hyperglycemia, and other diseases but occasionally occurs in patients with Grave's disease. Here, we report a 44-year-old woman presenting with a 1-year history of involuntary movements with...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.1074156/full |
| _version_ | 1797978991457468416 |
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| author | Wei Chen Bin Wu Hongna An Kaiying Zheng Daming Zhai Jiahua Zang Xiaobing Wu |
| author_facet | Wei Chen Bin Wu Hongna An Kaiying Zheng Daming Zhai Jiahua Zang Xiaobing Wu |
| author_sort | Wei Chen |
| collection | DOAJ |
| description | Chorea, a hyperkinetic syndrome, is generally reported in patients with Huntington's disease (HD), hyperglycemia, and other diseases but occasionally occurs in patients with Grave's disease. Here, we report a 44-year-old woman presenting with a 1-year history of involuntary movements with a known history of primary hyperthyroidism. Physical examination revealed the continuous, rapid, irregular, and spontaneous choreic movement of her right arm. Laboratory investigations demonstrated increased triiodothyronine (T3) and free thyroxine (FT4) and suppressed thyroid-stimulating hormone (TSH) levels. An electroencephalogram and brain magnetic resonance imaging were normal. After antithyroid treatment, the patient achieved complete remission. Our case indicated that hemichorea might initially manifest hyperthyroidism. Therefore, thyroid function tests should be routinely performed in patients with chorea. |
| first_indexed | 2024-04-11T05:32:50Z |
| format | Article |
| id | doaj.art-c792b7f879c847c9a51bc58dc3ceafd1 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-11T05:32:50Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-c792b7f879c847c9a51bc58dc3ceafd12022-12-22T16:41:13ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-12-011310.3389/fneur.2022.10741561074156Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature reviewWei ChenBin WuHongna AnKaiying ZhengDaming ZhaiJiahua ZangXiaobing WuChorea, a hyperkinetic syndrome, is generally reported in patients with Huntington's disease (HD), hyperglycemia, and other diseases but occasionally occurs in patients with Grave's disease. Here, we report a 44-year-old woman presenting with a 1-year history of involuntary movements with a known history of primary hyperthyroidism. Physical examination revealed the continuous, rapid, irregular, and spontaneous choreic movement of her right arm. Laboratory investigations demonstrated increased triiodothyronine (T3) and free thyroxine (FT4) and suppressed thyroid-stimulating hormone (TSH) levels. An electroencephalogram and brain magnetic resonance imaging were normal. After antithyroid treatment, the patient achieved complete remission. Our case indicated that hemichorea might initially manifest hyperthyroidism. Therefore, thyroid function tests should be routinely performed in patients with chorea.https://www.frontiersin.org/articles/10.3389/fneur.2022.1074156/fullchoreainvoluntary movementhyperthyroidismGraves' diseaseinitial presentation |
| spellingShingle | Wei Chen Bin Wu Hongna An Kaiying Zheng Daming Zhai Jiahua Zang Xiaobing Wu Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature review Frontiers in Neurology chorea involuntary movement hyperthyroidism Graves' disease initial presentation |
| title | Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature review |
| title_full | Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature review |
| title_fullStr | Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature review |
| title_full_unstemmed | Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature review |
| title_short | Unilateral upper limb chorea associated with hyperthyroidism: A case report and literature review |
| title_sort | unilateral upper limb chorea associated with hyperthyroidism a case report and literature review |
| topic | chorea involuntary movement hyperthyroidism Graves' disease initial presentation |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.1074156/full |
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