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A Case of Chorea following ASV

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Stanley Medical College, Department of Medicine
Health & Medicine
1 of 43
Unusual Cause of Chorea By Dr. Stalin Roy M5 unit Prof. P. Vijayaraghavan’s unit
Background ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
CNS examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Right Left Upper Limb Lower Limb Upper Limb Lower Limb Bulk Normal Normal Normal Normal Tone ^ ^ Normal Normal Power 3 2 5 5 Reflex + ++ + + Plantar Extensor Flexor
[object Object]
Sequence of events
 
 
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Initial MRI – day 6 (normal)
What is the diagnosis?
Treatment ,[object Object]
After 5 days of IV steroids
Repeat MRI ,[object Object],[object Object]
MRI after 1 week
 
 
Final diagnosis ,[object Object]
Follow up ,[object Object],[object Object]
After 3 months
Only 2 cases reported in literature ,[object Object],[object Object]
[object Object],[object Object]
GBS following Snake bite ,[object Object],[object Object]
ADEM ,[object Object]
Causes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical features ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
MRI findings ,[object Object],[object Object],[object Object]
MRI differentials ,[object Object],[object Object],[object Object],[object Object]
Initial MRI may be normal !! ,[object Object],[object Object]
Other tests ,[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
 
 
 
MRS findings ,[object Object]
HIE ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
 

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