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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
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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