Choreoathetotic syndrome following cardiac surgery

Michela Bisciglia; Frédéric London; Jonathan Hulin; André Peeters; Adrian Ivanoiu; Anne Jeanjean

doi:10.1016/j.jclinane.2016.08.043

Choreoathetotic syndrome following cardiac surgery

J Clin Anesth. 2017 Feb:36:59-61. doi: 10.1016/j.jclinane.2016.08.043. Epub 2016 Nov 18.

Authors

Michela Bisciglia¹, Frédéric London², Jonathan Hulin³, André Peeters⁴, Adrian Ivanoiu⁵, Anne Jeanjean⁶

Affiliations

¹ Department of Neurology, Cliniques Universitaires UCL St-Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium. Electronic address: michela.bisciglia@libero.it.
² Department of Neurology, Cliniques Universitaires UCL St-Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium. Electronic address: londonfrederic@gmail.com.
³ Department of Anesthesiology, Cliniques Universitaires UCL St-Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium. Electronic address: jonathan.hulin@uclouvain.be.
⁴ Department of Neurology, Cliniques Universitaires UCL St-Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium. Electronic address: andre.peeters@uclouvain.be.
⁵ Department of Neurology, Cliniques Universitaires UCL St-Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium. Electronic address: adrian.ivanoiu@uclouvain.be.
⁶ Department of Neurology, Cliniques Universitaires UCL St-Luc, 10 avenue Hippocrate, 1200, Brussels, Belgium. Electronic address: anne.jeanjean@uclouvain.be.

PMID: 28183575
DOI: 10.1016/j.jclinane.2016.08.043

Abstract

Movement disorders following heart surgery are very unusual. Post-pump chorea is mainly a pediatric complication of heart surgery, typically manifesting after a latent period of normality and is usually related with long extracorporeal circulation time and deep hypothermia. We report a 73-year-old woman, without risk factors predisposing to paroxysmal movement disorders, presenting acute choreoathetoid movements 5 days after aortic valvular replacement with normal extracorporeal circulation time and perioperative normothermia.

Keywords: Chorea; Heart surgery; Normothermia; Orofacial dyskinesia.

Publication types

Case Reports

MeSH terms

Aged
Aortic Valve Stenosis / surgery
Athetosis / etiology*
Cardiopulmonary Bypass / adverse effects
Chorea / etiology*
Female
Heart Valve Prosthesis Implantation / adverse effects*
Humans
Syndrome