Chorea

Clinic

• It is an Entity belonged to Hyperkinetic movement / Dyskinesia's entities.
• Also named Bizzar movements
• Hemichorea / Hemiballismus refers to one-side chorea
• Basal ganglion disease

Characteristics	Related entities	Related Disease	Miasms
Chorea is characterized by brief, semi-directed, irregular movements that are Not repetitive Not rhythmic Flow from one muscle to the next. Dance-like movements of chorea often occur with athetosis, which adds twisting and writhing movements. Walking may become difficult, and include odd postures and leg movements.	Athetosis Tremor Jerking / Twitching Clonous Fasciculation Myoclonus Seizure Hyper reflexia	NMDR encephalitis Autoimmune Chorea Sydenham's chorea PANDAS	JE, KRU CXA, CXB, ECHO, NVCJD
	Unlike ataxia, which affects the quality of voluntary movements, Chorea is done involuntary Unlike Parkinsonism, which is a hindrance of voluntary movements, the movements of Chorea / Ballism occur on their own, without conscious effort. Balism: When chorea is serious, slight movements will become thrashing motions; this form of severe chorea is referred to as ballism, or ballismus

Remedies

Top remedy	Tarent	All the limbs are affected with involuntary movements. Intense hyperaesthesia (increased sensitivity of skin). Constant movements of the arm, tossing of the arms from side to side, Constant motion of hands that leads to difficulty in doing anything with the hand are some accompanying symptoms. Involuntary movements of the leg and feet are prominent, leading to an inability to walk. Difficulty in speech, heaviness of the tongue with involuntary movements Choreic movements of the head are also present. Head is turned violently from side to side and in other directions. Nervous contractions in muscles of the face are also noted. All these movements are less intense at night Hysteric Chorea
Uncontrollable Movements of Face, Arms, and Legs	Mygal	Contractions and movements of facial muscle are most marked. There is a constant motion of the legs. Legs jerk excessively, making it difficult to stand or walk. The gait becomes unsteady and it becomes difficult to keep hands in the same position even for a minute. Involuntary head movements, throwing the head backward and then forwards is prominent. Constant jerking of the head (mostly to the right side) Shrugging of shoulders, difficulty in putting out tongue and grating of teeth at night Amel during sleep and are agg in morning
Uncertain, Unsteady Gait	Agar	While walking the person tumbles over everything in the way. Involuntary motion/jerking of single muscles Involuntary trembling/dancing of the whole body. Limbs may feel cold and weak with above indications. Chorea affects limbs crosswise i.e. left arm and right leg.
Face and Upper Limbs	Cina	Involuntary movements on the face are marked around the eyes. Throwing of arms from side to side. Limbs are distorted with jerking and trembling. Weakness of the hand is also present, making it difficult to hold things. Complaints usually appear on one side. Irritability, screaming, striking and restless sleep
Right Sided	Caust	Face, tongue, arm, and leg get affected. Marked twisting and jerking of limbs. Unsteady gait is present with involuntary body movements. Weakness of muscles is also present with the above symptoms. Agg during the night. Chorea during pregnancy.
Left Sided	Cupr	Jerking of arms and legs. Arms and legs also feel weak, weary and lame. Muscle contractions. Jerking of hands is also present. He can hold nothing in hand and the objects fall to the ground. Speech is also affected with trembling of the tongue.
Amel During Sleep	Mag-p	Involuntary shaking of limbs, face, mouth, and head is present. Involuntary movements of limbs along with contortions A sudden forward motion of the head is well-noted. There is jerking of the mouth and speech is also very defective. Symptoms appear only during waking hours.
Agg during Sleep	Verat-v	Involuntary motions of facial muscles (face turned into horrible contortions) Jerking/continual nodding of head, Jerking of arms and legs. Constant movement of the lower jaw may also be present. The speech also gets affected, with the dropping of words when speaking.
Start from the Face	Sec	Beginning in face and then spreading all over the body. The symptoms may become severe and rise to dance and jumping. Arms and legs are in constant motion. Head movement from side to side Trunk also appears to be in constant motion. Tongue jerks out and speech becomes difficult and indistinct.
Violent Chorea from Fright	Kali-br	Great trembling of hands is noted. Legs and arms are affected. Gait is unsteady, irregular, and staggering (similar to a drunk person walking). The muscles of the face are affected, the tongue protrudes with a jerk, and the person can barely speak. All the movements are violent.