2005 suplement 1

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Volume 14, suplement 1

Case report

Obsessive-compulsive disorder following the Sydenham chorea

Krzysztof Krysta1, Adam Klasik1, JOANNA OLSZEWSKA1, JACEK SOŁTYK2
1. Kliniki Psychiatrii i Psychoterapii w Katowicach
2. Kliniki Neurologii w Katowicach
Postępy Psychiatrii i Neurologii 2005; 14 (supl. 1/20): 15-106
Keywords: obsessions, compulsions, chorea

Abstract

Objective. A case is reported of obsessive-compulsive disorder after the onset of Sydenham 's chorea.

Case. A female patient at present aged 35, had the onset of Sydenham 's chorea at the age of 19 years, and ever since has suffered from obsessive-compulsive disorder with predominance of compulsive behaviours. Moreover, the patient has had bilateral contraction of the eyelids since the age of 30 years. Focal dystonia (blepharospasmus) was excluded after a neurological consultation and EMG examination. Cognitive impairments and radiological abnormalities within the skull bones were found.

Commentary. In patients with obsessive-compulsive disorder following Sydenham 's chorea partial improvement can be attained after treatment with serotonin reuptake inhibitors.

Address for correspondence:
Dr Krzysztof Krysta, Klinika Psychiatrii i Psychoterapii Śląskiej Akademii Medycznej,
ul. Ziołowa 45/47, 40-635 Katowice