Abstract
A 13-year, 6-month-old female was evaluated for subacute onset of left-sided hemichorea/hemiballismus, with an old, right parietal, cortical, and subcortical stroke as the presumed cause. Treatment with gabapentin was initiated, with good results at 6-month follow-up. Discussion of the differential diagnosis and evaluation of delayed-onset movement disorders in children and the mechanism of action of gabapentin is included.
MeSH terms
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Acetates / therapeutic use*
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Adolescent
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Age of Onset
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Amines*
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Antiparkinson Agents / therapeutic use*
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Basal Ganglia / physiopathology
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Chorea / diagnosis
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Chorea / drug therapy*
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Chorea / etiology
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Cyclohexanecarboxylic Acids*
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Diagnosis, Differential
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Dyskinesias / diagnosis
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Dyskinesias / drug therapy*
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Dyskinesias / etiology
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Female
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Gabapentin
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Humans
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Neural Pathways
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Stroke / complications
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Treatment Outcome
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gamma-Aminobutyric Acid*
Substances
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Acetates
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Amines
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Antiparkinson Agents
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Cyclohexanecarboxylic Acids
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gamma-Aminobutyric Acid
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Gabapentin