TITLE:
Subacute Chorea Induced by Organic Solvents
AUTHORS:
Siham Bouchal, Baderddine Alami, Oumaima Yazami, Mustafa Maaroufi, Faouzi Belahsen
KEYWORDS:
Acute Chorea, Diffuse White Matter T2 Hyperintensity, Organic Solvent Exposure
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.11 No.3,
March
22,
2022
ABSTRACT: Introduction: Chronic exposure to organic solvents may result in a variety of neurologic complications like dementia, cerebellar dysfunction, pyramidal syndrome, cranial nerve abnormalities, and neuropathy. Clinical Presentation: We report an unusual case of subacute chorea induced by occupational exposure. Brain magnetic resonance imaging showed diffuse white matter T2 hyperintensity. The screening of basic blood tests, and CSF studies to eliminate alternate diagnoses, were normal. The patient received 1000 mg/day of intravenous methylprednisolone for 3 days, with cessation of professional activity. We observed a regression of neurological symptoms after 3 months of follow-up. Conclusion: This case highlights the diversity of acute or chronic neurological complications of solvents.