Table 5

Causes of late-onset chorea15

CerebrovascularIschaemic and haemorrhagic
MedicationsNumerous: dopaminergic medications (eg, levodopa), anticonvulsants, stimulants, psychiatric medications (neuroleptics, selective serotonin reuptake inhibitors, anticholinergics), steroids, opiates
ToxinsCarbon monoxide, manganese
HereditaryHuntington’s disease, causes of neuroacanthocytosis, others (eg, Dentatorubral-pallidoluysian atrophy, Spinocerebellar ataxia-17)
AutoimmuneSystemic lupus erthyematosus, primary antiphospholipid syndrome, recrudescence of Sydenham’s chorea, paraneoplastic
MetabolicHyperthyroidism, hyperglycaemia, hepatocerebral syndrome
InfectiousAIDS and Creutzfeldt-Jakob disease
OtherPolycythaemia rubra vera, basal ganglia mineralization
  • CJD, Creutzfeldt-Jakob disease; DRPLA, Dentatorubral-pallidoluysian atrophy; SCA, Spinocerebellar ataxia; SLE, Systemic lupus erthyematosus; SSRI, Selective serotonin reuptake inhibitors