quetiapine-fumarate and Chorea

Topics: Adult; Antipsychotic Agents; Chorea; Haloperidol; Humans; Male; Neuroacanthocytosis; Pimozide; Quetiapine Fumarate; Self Mutilation; Treatment Failure

Topics: Antithyroid Agents; Atenolol; Chorea; Dibenzothiazepines; Female; Goiter, Nodular; Humans; Hyperthyroidism; Iodine Radioisotopes; Methimazole; Patient Compliance; Prednisone; Propylthiouracil; Quetiapine Fumarate; Thyrotoxicosis; Thyrotropin; Thyroxine; Triiodothyronine; Young Adult

Two weeks after starting the oral contraceptive pill, a 16-year-old girl developed increasingly violent chorea and an evolving psychosis with prominent hallucinations, ideas of reference, and paranoia. An erythematous skin rash subsequently developed and Sydenham's chorea (SC) was diagnosed. Following neuroleptic medication and steroids, her chorea and psychosis subsided. This case illustrates that severe psychotic features can occur in SC. It is recommended that antistreptolysin O titres and antibasal ganglia antibodies are checked early in patients with evolving movement disorders and prominent neuropsychiatric features, as the window for modifying the course of this immune-mediated disorder may be narrow.

Topics: Adolescent; Antipsychotic Agents; Antistreptolysin; Basal Ganglia; Chorea; Contraceptives, Oral; Dibenzothiazepines; Female; Hallucinations; Humans; Methylprednisolone; Neuroprotective Agents; Paranoid Disorders; Psychotic Disorders; Quetiapine Fumarate; Risk Factors; Steroids; Streptococcal Infections

Topics: Acromegaly; Acute Disease; Adenoma; Adult; Antipsychotic Agents; Basal Ganglia; Brain Ischemia; Chorea; Diabetes Complications; Diabetic Ketoacidosis; Dibenzothiazepines; Dyskinesias; Female; Growth Hormone; Humans; Hyperglycemia; Insulin; Magnetic Resonance Imaging; Pituitary Gland; Pituitary Neoplasms; Quetiapine Fumarate; Syndrome