COREA DE SYDENHAM TRATAMIENTO PDF

Behavioural and emotional changes may precede the movement disorders in a previously well child. Treatment of movement disorders. Therapeutic efforts are limited to palliation of the movement disorders. Haloperidol is frequently used because of its anti-dopaminergic effect. It has serious potential side-effects, e. In a study conducted at the RFC,[ clarification needed ] 25 out of 39 patients on haloperidol reported side-effects severe enough to cause the physician or parent to discontinue treatment or reduce the dose.

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Behavioural and emotional changes may precede the movement disorders in a previously well child. Treatment of movement disorders. Therapeutic efforts are limited to palliation of the movement disorders. Haloperidol is frequently used because of its anti-dopaminergic effect. It has serious potential side-effects, e. In a study conducted at the RFC,[ clarification needed ] 25 out of 39 patients on haloperidol reported side-effects severe enough to cause the physician or parent to discontinue treatment or reduce the dose.

Other medications which have been used to control the movements include pimozide , clonidine , valproic acid , carbamazepine and phenobarbitone. Immunomodulatory interventions include steroids, intravenous immunoglobulins, and plasma exchange. Patients may benefit from treatment with steroids; controlled clinical trials are indicated to explore this further.

History[ edit ] This section contains close paraphrasing of one or more non-free copyrighted sources. Relevant discussion may be found on the talk page. Ideas in this article should be expressed in an original manner. Such progress was promoted by the availability of large series of clinical data provided by newly founded paediatric hospitals. A study examined the demographic and clinical features of patients with chorea admitted to the first British paediatric hospital the Hospital for Sick Children, Great Ormond Street, London between and William Osler stated, "In the whole range of medical terminology there is no such olla podrida as Chorea, which for a century has served as a sort of nosological pot into which authors have cast indiscriminately affections characterised by irregular, purposeless movements.

The association of chorea with rheumatism was first reported in , and confirmed in the following decades by several French and English authors. The incidence of acute rheumatic fever and rheumatic heart disease is not declining. Recent figures quote the incidence of Acute Rheumatic Fever as 0. Complex multi-systemic diseases, such as rheumatic fever, were categorised only after the observation of large, hospital based series. Therefore, paediatric hospitals gradually became an important setting for the application of a modern "statistical averaging" technique to paediatric syndromes.

Chorea was the fourth most frequent cause of admission between and , and in the s temporarily became the second most frequent diagnosis among inpatients. Contemporary articles report a homogeneous distribution of paediatric chorea all over England However, since many choreic children were "cured" at home, the hospital based rates probably underestimate the incidence of chorea in the general paediatric population.

In the s and s the highest frequency of chorea was recorded during the winter months in several Northern and Central European countries. The incidence of rheumatism among Great Ormond Street Hospital inpatients peaked in October, preceding chorea by approximately two months. Due to a referral bias, this age may be falsely low. Indeed, the British Medical Association reported the peak age between 11 and 15 years. In the present series, the female:male ratio was 2.

In children below age 7, the female preponderance is less manifest. This was observed also by Charles West founder physician of Great Ormond Street Hospital , and subsequently by Osler, who stated that "the second hemi-decade contains the greatest number of cases in males, and the third the greatest number in females". In the majority of the 20th century studies, female preponderance is evident only in children over 10 years of age.

Supporting this view, oral contraceptives and pregnancy can cause relapses of disease. Given that relapse admissions had a negative impact on the hospital cure rate, this rate might underestimate the actual relapse incidence in the general population of patients. Saint Vitus is considered to be the patron saint of dancers, with the eponym given as homage to the manic dancing that historically took place in front of his statue during the feast of Saint Vitus in Germanic and Latvian cultures.

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Maujas Pediatr Neurol ; Curr Crea Neurol Neurosurg ;4: The study protocol included a complete clinical history with detailed information regarding family history, form of presentation, signs and symptoms, clinical course, duration, associated manifestations. Sao Paulo Med J. Although it was previously recognized that data were limited, it was sjdenham to recognize the significant deficit of valid scientific evidence for all reported therapies. Five patients receiving carbamazepine showed improvement without side effects. Harries-Jones and Gibson Rheumatic fever and rheumatic heart disease: Rheumatic chorea controlled with haloperidol.

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