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Choreoathetotic movement disorder in alcoholism.

P J Mullin, P W Kershaw, J M Bolt

    British Medical Journal
    |October 31, 1970
    PubMed
    Summary

    A new choreoathetosis syndrome linked to alcoholism was observed in 12 patients, predominantly women. This transient condition may relate to alcohol withdrawal, excluding other common causes.

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    Area of Science:

    • Neurology
    • Toxicology
    • Internal Medicine

    Background:

    • Chorea-athetosis is a movement disorder characterized by involuntary, irregular muscle contractions.
    • Alcoholism is a chronic disease characterized by alcohol dependence and abuse.
    • The relationship between alcoholism and specific neurological syndromes requires further elucidation.

    Purpose of the Study:

    • To describe a distinct syndrome of choreoathetosis observed in patients with alcoholism.
    • To investigate potential associations and exclusions for this syndrome.

    Main Methods:

    • Case series of 12 patients presenting with choreoathetosis and a history of alcoholism.
    • Clinical assessment including medical history, neurological examination, and laboratory tests.
    • Exclusionary criteria included gross liver disease, phenothiazine use, and familial chorea.

    Main Results:

    • A syndrome of choreoathetosis was identified in 12 patients with alcoholism.
    • The syndrome appeared more common in women and was transient.
    • Alcohol withdrawal was a potential associated factor.
    • No consistent abnormalities were found in blood thiamine, nicotinic acid, serum magnesium, or serum vitamin B12 levels.
    • The syndrome was not linked to gross liver disease, phenothiazine administration, or familial chorea.

    Conclusions:

    • A specific choreoathetosis syndrome associated with alcoholism exists.
    • This syndrome is transient, potentially linked to alcohol withdrawal, and more prevalent in women.
    • It is distinct from chorea associated with liver disease, drug-induced movement disorders, or genetic conditions.

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