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Generalized chorea associated with chronic subdural hematomas

S H Bae, T S Vates, E J Kenton

    Annals of Neurology
    |October 1, 1980
    PubMed
    Summary
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    Chronic bilateral subdural hematomas can cause choreiform movements. Surgical evacuation of these hematomas may improve or resolve these involuntary movements.

    Area of Science:

    • Neurology
    • Neurosurgery

    Background:

    • Chronic bilateral subdural hematomas are collections of blood that can exert pressure on the brain.
    • Choreiform movements are characterized by involuntary, irregular, and jerky physical movements.

    Observation:

    • Two patients presented with symmetrical generalized choreiform movements.
    • The onset of chorea coincided with the presence of chronic bilateral subdural hematomas.

    Findings:

    • One patient experienced complete resolution of choreiform movements following surgical evacuation of the subdural hematomas.
    • The second patient showed significant improvement in choreiform movements after hematoma evacuation, with a noted family history of Huntington's disease.

    Implications:

    • This suggests a potential causal link between chronic bilateral subdural hematomas and the development of choreiform movements.

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  • Surgical intervention for subdural hematomas may be a viable treatment option for resolving or improving associated chorea.
  • Further research is warranted to elucidate the exact pathophysiological mechanisms and differentiate from other causes of chorea.