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J Postgrad Med. 2018 Dec 27. doi: 10.4103/jpgm.JPGM_448_18. [Epub ahead of print]

Acute hemichorea revealing atrial flutter.

Author information

1
Department of Neurology, Rouen University Hospital, France.
2
Department of Neurology, Rouen University Hospital; Inserm U1239, Laboratory of Neuronal and Neuroendocrine Differentiation and Communication, Institute for Research and Innovation in Biomedicine, University of Rouen, France.

Abstract

Transient ischemic attacks (TIAs) typically present with easily recognizable neurological focal deficits. Symptoms such as paroxysmal involuntary movements are not usually considered to be a manifestation of TIA. We report a case with video documentation of TIA due to permanent atrial flutter presenting as acute left hemichorea. To our knowledge, such a case has not yet been reported. The present case constitutes a crucial diagnostic challenge in neurological practice in order to prevent a high risk of subsequent ischemic stroke.

KEYWORDS:

Atrial flutter; hemichorea; transient ischemic attack

PMID:
30588926
DOI:
10.4103/jpgm.JPGM_448_18
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