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Figures & Tables

Table 1

Cases Reported in the Literature of Drug-induced Hemichorea

Sex/Age (years)HistoryHemichoreaBrain MRIDrugMechanism of ActionReferences
M/41NoneRightNormalGabapentinBinds to many transmembrane sites within the central nervous system embracing the α-2-δ subunit of the voltage-gated calciumLai et al.8
F/76Alzheimer diseaseRight upper limbDystonia left lower limbNAMemantineNon-competitive antagonist of NMDA receptor, dopaminergic action at high dosesBorges et al.4
F/92HypertensionRightNormalZolpidem/zopicloneAgonist GABA AWatari and Tokuda5
F/17Irregular menstrual cycleRightNAOral contraceptive pills (ethinyl estradiol and cyproterone acetate)Competitive inhibition of the binding of testosterone and dihydrotestosterone to androgen receptorsDopaminergic action at high dosesSharmila and Babu6
M/53HypertensionRight frontal hemorrhageLeftRight frontal hemorrhageValproateInhibitory GABA, excitatory NMDA receptor and sodium channel pathwaysSrinivasan and Lok9
F/65DepressionLeftNormalSertralineSelective serotonin reuptake inhibitorPresent case, 2017

[i] Abbreviations: GABA, Gamma-aminobutyric Acid; MRI, Magnetic Resonance Imaging; NA, Not Available; NMDA, N-methyl-D-aspartic Acid.

tre-07-518-7522-1-g001.jpg
Figure 1

1.5 Tesla Brain Magnetic Resonance Imaging. (A) T1-weighted sequences. (B) T2-weighted sequences. (C) Fluid attenuation inversion recovery (FLAIR)-weighted sequences.

Video 1

Sertraline-induced Hemichorea. Segment 1. Patient at the initial examination with hemichoreatic movement involving the left hemibody. Segment 2. Patient 1 month after initial presentation with clinical improvement.

DOI: https://doi.org/10.5334/tohm.367 | Journal eISSN: 2160-8288
Language: English
Submitted on: Oct 3, 2017
Accepted on: Nov 28, 2017
Published on: Dec 18, 2017
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2017 Emilia M. Gatto, Victoria Aldinio, Virginia Parisi, Gabriel Persi, Gustavo Da Prat, Maria Bres Bullrich, Pilar Sanchez, Galeno Rojas, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.