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Sertraline-induced Hemichorea

Gatto, Emilia; Aldinio, Victoria; Parisi, Virginia; Persi, Gabriel; Da Prat, Gustavo; Bullrich, Maria Bres; Sanchez, Pilar; Rojas, Galeno

Background: Hemichorea–hemiballism is a syndrome secondary to different etiologies. Drug-induced hemichorea is a rare syndrome related to selective serotonin reuptake inhibitors. To the best of our knowledge, no previous cases of hemichorea associated with sertraline have been reported.

Case Report: A 65-year-old female noticed hemichorea 1 week after initiation of sertraline. After extensive investigations, other causes of hemichorea were excluded. Hemichorea remitted after sertraline withdrawal.

Discussion: In our patient, temporal association and the negative clinical assessment supported a diagnosis of likely drug-induced involuntary movement. We hypothesized that enhanced serotonergic transmission in the ventral tegmental area or nigrostriatum may be involved in sertraline-induced hemichorea.

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Title
Tremor and Other Hyperkinetic Movements
DOI
https://doi.org/10.7916/D8XK999F

More About This Work

Academic Units
Center for Parkinson's Disease and Other Movement Disorders
Published Here
April 9, 2018