Acute-onset choreiform movements in a previously healthy 4-year-old patient

Gordon J. Cohen, Aylin Tekes, Thuy L. Ngo

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


We report the case of 4-year-old male with sinus venous thrombosis leading to bilateral thalamic and basal ganglia strokes presenting as generalized choreiform movements. Acute-onset chorea in the pediatric population is most commonly associated with Sydenham chorea, which is a manifestation of acute rheumatic fever. Chorea is a much less commonly noted sign of stroke, and when it occurs, it typically presents as hemichorea. Given the unlikely presentation, rapid and appropriate imaging was the key to diagnosis.

Original languageEnglish (US)
Pages (from-to)31-34
Number of pages4
JournalPediatric emergency care
Issue number1
StatePublished - Jan 1 2014


  • altered mental status
  • chorea
  • sinus venous thrombosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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