Tremor and Other Hyperkinetic Movements (Oct 2018)

Transient Generalized Chorea in Influenza A Encephalopathy

  • Jannik Prasuhn,
  • Georg Royl,
  • Klaus P. Wandinger,
  • Norbert Brüggemann,
  • Alexander Neumann,
  • Thomas F. Münte

DOI
https://doi.org/10.7916/D8F495TP

Abstract

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Background: Influenza A infections are a rare cause of movement disorders. Previously described patients have suffered from acute-onset myoclonus and/or dystonia or post-viral parkinsonism. Case Report: We present the case of a 74-year-old female patient with transient generalized chorea due to influenza A-mediated encephalopathy. Discussion: We discuss whether the clinical presentation and the magnetic resonance imaging changes may be attributable to cytokine-mediated encephalopathy or to direct cytotoxic effects of the virus. Additionally, we would like to make clinicians aware of this clinical sign in the context of viral encephalopathy.

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