[The value of re-evaluation and thorough family history taking for the diagnostic work-up of chorea]. / Het diagnostisch proces bij chorea: het belang van heroverwegen en de familieanamnese.
Tijdschr Psychiatr
; 66(1): 51-54, 2024.
Article
en Nl
| MEDLINE
| ID: mdl-38380489
ABSTRACT
The differential diagnosis of chorea encompasses a broad range of disorders. In psychiatry, tardive dyskinesia may be difficult to discern from other causes, particularly when the family history is negative. A 59-year-old man with an unclear medical history had been using risperidone for over a decade when we first saw him. He presented with severe dyskinesia in all extremities. The family history for neuropsychiatric disorders was negative. We interpreted the movement disorder as tardive dyskinesia, but later he turned out to suffer from Huntington’s disease. To improve diagnostic accuracy, we should have more frequently re-evaluated the differential diagnosis and our family history should have been more thorough. We outline the diagnostic considerations in patients presenting with chorea. Finally, we highlight the value of diagnostic re-evaluation and thorough family history taking to optimize diagnostic accuracy in neuropsychiatry.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Corea
/
Enfermedad de Huntington
/
Discinesia Tardía
/
Trastornos del Movimiento
Límite:
Humans
/
Male
/
Middle aged
Idioma:
Nl
Revista:
Tijdschr Psychiatr
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Países Bajos