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Acute-onset choreiform movements in a previously healthy 4-year-old patient.
[acute rheumatic fever]
We
report
the
case
of
4
-
year
-old
male
with
sinus
venous
thrombosis
leading
to
bilateral
thalamic
and
basal
ganglia
strokes
presenting
as
generalized
choreiform
movements
.
Acute
-onset
chorea
in
the
pediatric
population
is
most
commonly
associated
with
Sydenham
chorea
,
which
is
a
manifestation
of
acute
rheumatic
fever
.
Chorea
is
a
much
less
commonly
noted
sign
of
stroke
,
and
when
it
occurs
,
it
typically
presents
as
hemichorea
.
Given
the
unlikely
presentation
,
rapid
and
appropriate
imaging
was
the
key
to
diagnosis
.
Diseases
Validation
Diseases presenting
"basal ganglia strokes presenting as generalized choreiform movements"
symptom
acute rheumatic fever
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