Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

Child has abnormal movements of hands and legs. Earlier treated for rheumatic fever. Problem?

year old girl from the cardiology ward developed acute onset of abnormal movements involving her hands and legs. This affected her gait and she walked in a funny way. The movements seemed purpose less and random. They looked as if she was dancing in a relative slowness. Her mother mentioned disappearance of movement during sleep. There were no dysphagia or visual symptoms. She is treated for rheumatic fever for 7 days now and the doctor is happy about her heart . QUESTIONS : 1- What is the likely problem encountered in this young girl? 2- What part of the brain is affected? 3- What is the underlying pathological process? 4- When do you expect her to improve?
Asked On : Thu, 24 Jan 2013
Answers:  2 Views:  31
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics
Pediatrician 's  Response
Thank you for your query.
Your questions are very well put.
These are all symptoms of rheumatic fever.
These quasipurposive movements are known as chorea.
The basal ganglia are affected.
The underlying process is an autoimmune activity against different body tissues.
She will improve but will require life time penicillin injections.
Hope this answers your query.If you have any other queries kindly direct them to me.Wishing your child a speedy recovery.Have a nice day.
Answered: Fri, 25 Jan 2013
I find this answer helpful
Pediatrician Dr. Synthyia Bhagat's  Response
Thanks for your query.
1)she is having Syndenhem chorea which are these purposeless random movements,present at rest and usually cease during sleep is mostly seen in girls.
2)Basal ganglia is the part of brain which is affected.
3)There is imbalance among dopaminergic system,cholinergic system and inhibitory GABA system
4)Chorea is usually self limited but sometimes anticonvulsants are needed.They need prophylaxis against streptococcal infection till 18 years of age..

Hope i have answered your question
God bless,
Answered: Fri, 25 Jan 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor