Evidence map›Paper›PMID 39334593›Full record

ArticleChildren (Basel, Switzerland)2024

Pediatric Post-Pump Chorea: Case Report and Implications for Differential Diagnosis.

Elisa Rossi, Concetta Strano, Ilaria Cortesia, Francesca Torta, Mirella Davitto Bava, Irene Tardivo, Marco Spada

Abstract readCase Reports
In one paragraph

Article in Children (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Elisa RossiDepartment of Pediatrics, University of Turin, 10126 Turin, Italy.
Concetta StranoDepartment of Pediatrics, University of Turin, 10126 Turin, Italy.
Ilaria CortesiaDepartment of Pediatrics, University of Turin, 10126 Turin, Italy.
Francesca TortaDepartment of Pediatrics, Regina Margherita Pediatric Hospital, 10126 Turin, Italy.
Mirella Davitto BavaDepartment of Pediatrics, University of Turin, 10126 Turin, Italy.
Irene TardivoDepartment of Pediatrics, University of Turin, 10126 Turin, Italy.
Marco SpadaDepartment of Pediatrics, University of Turin, 10126 Turin, Italy.ORCID 0000-0002-8894-350X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChorea is a neurological disorder characterized by random, fluid movements that may affect the limbs, trunk, neck, or face. In children, Sydenham's chorea (SC) is the most common cause of acute chorea, mainly following group A beta-hemolytic streptococcal (GABHS) infection. Other autoimmune and metabolic disorders may also cause chorea. CASE PRESENTATION: We report the case of a 6-year-old girl who developed chorea following cardiac surgery for mitral insufficiency. One week after discharge, the patient presented with right-sided hyposthenia, slower speech, mild dysarthria, and sialorrhea. Brain MRI and intracranial MRI angiography revealed a small vascular lesion consistent with a microembolic event. Extensive diagnostic investigations, including serum panels for autoimmune encephalitis, neurotropic viruses, and metabolic disorders, were negative.

conclusionsConsidering the patient's history, clinical course, and the exclusion of other potential causes, a diagnosis of post-pump chorea was made. This case underlines the importance of a thorough differential diagnosis in pediatric chorea and highlights post-pump chorea as a significant postoperative complication in pediatric cardiac surgery. The patient's motor symptoms improved with symptomatic treatment, and follow-up showed good recovery without neurological sequelae.

Indexed as

cardiac surgeryneurological complicationspediatric choreapost-pump choreoathetosis

Identifiers

PMID39334593
PMCPMC11429602

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