Acute chorea as a presentation of Graves disease: case report and review
Jiun-Hao Yu, MD
Department of Emergency Medicine, Chang Gung Memorial Hospital, Kuei Shan Hsiang, Taoyuan Hsien 33305, Taiwan
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Fig. 1
Single photon emission computed tomographic image showing a hypoconcentration of tracer over the right anterior temporal cortex (arrow) and symmetric perfusion to bilateral thalamus and basal ganglion.
We described the case of a 17-year-old adolescent girl with Graves disease and unique combination of acute chorea and decreased cerebral perfusion on single photon emission computed tomographic images. She returned to euthyroid state in 2 weeks with partial improvement of choreic movement, which resolved by 6 weeks after additional treatment with haloperidol. The relationship between chorea, Graves disease, and abnormal cerebral perfusion is discussed.
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© 2009 Published by Elsevier Inc. All rights reserved.
