Subacute Chorea Induced by Organic Solvents  

作　　者：Siham Bouchal Baderddine Alami Oumaima Yazami Mustafa Maaroufi Faouzi Belahsen Siham Bouchal;Baderddine Alami;Oumaima Yazami;Mustafa Maaroufi;Faouzi Belahsen(Department of Neurology, Hassan II University Teaching Hospital, Fez, Morocco;Laboratory of Epidemiology, Clinical Research, and Health Community, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdallah University, Fez, Morocco;Department of Radiology, Hassan II University Teaching Hospital, Fez, Morocco)

机构地区：[1]Department of Neurology, Hassan II University Teaching Hospital, Fez, Morocco [2]Laboratory of Epidemiology, Clinical Research, and Health Community, Faculty of Medicine and Pharmacy, Sidi Mohammed Ben Abdallah University, Fez, Morocco [3]Department of Radiology, Hassan II University Teaching Hospital, Fez, Morocco

出　　处：《Case Reports in Clinical Medicine》2022年第3期84-89,共6页临床医学病理报告（英文）

摘　　要：Introduction: Chronic exposure to organic solvents may result in a variety of neurologic complications like dementia, cerebellar dysfunction, pyramidal syndrome, cranial nerve abnormalities, and neuropathy. Clinical Presentation: We report an unusual case of subacute chorea induced by occupational exposure. Brain magnetic resonance imaging showed diffuse white matter T2 hyperintensity. The screening of basic blood tests, and CSF studies to eliminate alternate diagnoses, were normal. The patient received 1000 mg/day of intravenous methylprednisolone for 3 days, with cessation of professional activity. We observed a regression of neurological symptoms after 3 months of follow-up. Conclusion: This case highlights the diversity of acute or chronic neurological complications of solvents.Introduction: Chronic exposure to organic solvents may result in a variety of neurologic complications like dementia, cerebellar dysfunction, pyramidal syndrome, cranial nerve abnormalities, and neuropathy. Clinical Presentation: We report an unusual case of subacute chorea induced by occupational exposure. Brain magnetic resonance imaging showed diffuse white matter T2 hyperintensity. The screening of basic blood tests, and CSF studies to eliminate alternate diagnoses, were normal. The patient received 1000 mg/day of intravenous methylprednisolone for 3 days, with cessation of professional activity. We observed a regression of neurological symptoms after 3 months of follow-up. Conclusion: This case highlights the diversity of acute or chronic neurological complications of solvents.

关 键 词：Acute Chorea Diffuse White Matter T2 Hyperintensity Organic Solvent Exposure 

分 类 号：R74[医药卫生—神经病学与精神病学]