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  Sydenham Chorea 
Synonym(s):  Saint Vitus Dance
Reviewed  07-01-2001  

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Table of Contents (click to jump to sections)

What is Sydenham Chorea?
Is there any treatment?
What is the prognosis?
What research is being done?

Organizations

What is Sydenham Chorea?
Sydenham chorea, also called St. Vitus dance, is a childhood movement disorder characterized by rapid, irregular, aimless, involuntary movements of the muscles of the limbs, face, and trunk. The disorder, which is considered a manifestation of rheumatic fever (streptococcal infection), typically has an onset between the ages of 5 and 15. Girls are affected more often than boys. The symptoms may appear gradually or suddenly, and may include muscle weakness, hypotonia (decreased muscle tone), and clumsiness. The symptoms vary in severity--from mild cases in which there is restlessness, facial grimacing, and a slight degree of incoordination of movements, to severe cases involving involuntary movements that incapacitate the child. The disorder may strike up to 6 months after the fever or infection has cleared. The chorea is believed to result from an autoimmune mechanism that occurs when the streptococcal infection causes the body to make antibodies to specific brain regions.

Is there any treatment?
There is no specific treatment for Sydenham chorea. Treatment is symptomatic and may include bed rest, sedatives, and the drug diazepam for controlling movements. Penicillin may also be prescribed for treatment of the fever or infection. Penicillin prophylaxis is often prescribed to avoid further infections with streptococcal bacteria.

What is the prognosis?
Generally the prognosis for patients with Sydenham chorea is good, and complete recovery often occurs. The duration of the disorder varies, with the average case lasting 3 to 6 weeks. Occasionally the course may be prolonged for several months.

What research is being done?
The NINDS supports research on movement disorders such as Sydenham chorea. The goals of this research are to increase understanding of these disorders and to find ways to prevent them.

Select this link to view a list of studies currently seeking patients.

 Organizations

National Organization for Rare Disorders (NORD)
P.O. Box 1968
(55 Kenosia Avenue)
Danbury, CT 06813-1968
orphan@rarediseases.org
http://www.rarediseases.org
Tel: 203-744-0100 Voice Mail 800-999-NORD (6673)
Fax: 203-798-2291

Worldwide Education & Awareness for Movement Disorders (WE MOVE)
204 West 84th Street
New York, NY 10024
wemove@wemove.org
http://www.wemove.org
Tel: 800-437-MOV2 (6682) 212-875-8312
Fax: 212-875-8389


NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient's medical history.

All NINDS-prepared information is in the public domain and may be freely copied. Credit to the NINDS or the NIH is appreciated.


Provided by:
The National Institute of Neurological Disorders and Stroke
National Institutes of Health
Bethesda, MD 20892




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