Post-Pump chorea: Choreoathetosis Following Pulmonary Thromboendarterectomy

  • Safa Savadi-Oskouei 1) Department of Neurology, Neuroscience Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; 2) Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  • Daryoush Savadi-Oskouei Department of Neurology, Neuroscience Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  • Aidin Baghbani-Oskouei Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Post-pump chorea syndrome is a rare choreo-athetoid movement disorder following cardiopulmonary bypass. Herein, we report a rare case of post-pump chorea in a 40 year-old gentleman who was candidate for pulmonary artery thromboendarterectomy procedure. Within a few days after surgery and achieving consciousness, he developed severe agitation, dysarthric speech, and cognitive disorder following irregular, unpredictable and purposeless movements involving all four extremities predominantly in the right side. Based on the relevant medical history, imaging and laboratory findings, the diagnosis of post-pump chorea was confirmed. The symptoms improved after one month treatment with haloperidol, tetrabenazine, and clonazepam.

Published
2020-03-15
Section
Case Report