Huntington Chorea Case presentation

#ComprehensiveClinicalClass
Huntington CHorea Case presentation by:
Dr.Inchara KM
3rd year MD General Medicine
HIMS, Hassan
Mentor:
Prof S.R Chandra
Retired from NIMHANS, Bangalore
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Long duration, symmetric, distal ,progressive

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Structures involved from history
Indirect pathway
Bilateral caudate
Subcortical type of cognitive impairment

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Hyperkinetic choria ,myoclonus,ballismus

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Organic
May be change by emotions balance between dopaminergic system modulatory

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Faciabrachial dystonia Dr chandra's triad

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Describe movement
Rate range rythm direction amplitude ppt factor relieve factor unique
Ul onset ll

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Mood vs affect

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Categories hyperkinetic hypokinetic

[@mprancher4966]

Excellent…

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Dopaminergic pathway

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Excellent

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Hypokinesia mainly parkinsonism

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Hld1,2,4

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Define chorea 16.29

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Functional
Not superimposible
Entrainment

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Subcortical vs cortical cognitive disease

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Organic vs functional

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Westphal varient

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17.20 chorea movement video

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Causes of chorea 16.40

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Neuroacanthosis

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Pseudodementia

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Lingual chorea

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Memory

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Mental slowing

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Eyebrow lifting chorea

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Gait