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Post pump chorea in a 77-year-old male
Carsten Saft1, Delawer Reber, Monika Streuer
1Department of Neurology, St. Josef Hospital Bochum, Ruhr-University, Bochum, Germany. carsten.saft@ruhr-uni-bochum.de
This report details a rare case of post-pump chorea in a 77-year-old man following cardiac surgery. The patient
Area of Science:
- Cardiology
- Neurology
Background:
- Post-pump chorea is a rare neurological complication following cardiac surgery.
- It is typically observed in pediatric patients, making adult cases exceptionally uncommon.
Observation:
- A 77-year-old male developed chorea after a concomitant cardiac procedure.
- This patient represents the oldest documented case of post-pump chorea in medical literature.
Findings:
- Prolonged aortic clamping and cardiopulmonary bypass time are suspected risk factors.
- The patient's choreiform movements significantly improved with tetrabenazine treatment.
Implications:
- This case expands the known age range for post-pump chorea.
- Highlights the potential role of extended pump time as a risk factor in elderly patients.
- Suggests tetrabenazine as an effective treatment option for post-pump chorea in adults.
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