Symptoms and Signs – Differential Diagnosis of Choreoathetosis
SYSTEMIC DISEASES • Systemic lupus erythematosus (SLE) • Polycythemia • Thyrotoxicosis • Rheumatic fever • Cirrhosis of the liver (acquired hepatocerebral degeneration) • Diabetes mellitus (DM) • Wilson’s disease PRIMARY DEGENERATIVE BRAIN DISEASES • Huntington’s chorea • Olivopontocerebellar atrophies • Neuroacanthocytosis FOCAL BRAIN DISEASES • Hemichorea • Stroke • Tumor • Arteriovenous malformation DRUG-INDUCED CHOREOATHETOSIS • Parkinson’s disease drugs: levodopa • Epilepsy drugs: phenytoin, carbamazepine, phenobarbital, gabapentin, valproate • Psychostimulant drugs: cocaine, amphetamine, methamphetamine, dextroamphetamine, methylphenidate, pemoline, psychotropic drugs, lithium, tricyclic antidepressant drugs • Oral contraceptive drugs: cimetidine
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