How is chorea treated?

The treatment approach for chorea depends on its underlying cause. Here are some treatment options for different types of chorea:

Huntington's disease (HD):

1. Genetic counseling: Genetic testing can help individuals at risk of HD or those with a family history of the disease to make informed decisions.

2. Symptomatic treatment:

- Antipsychotics: Drugs like tetrabenazine, olanzapine, and haloperidol can help reduce involuntary movements.

- Dopamine-depleting agents: Tetrabenazine depletes dopamine levels, helping control chorea.

- Botulinum toxin injections: Injections can help relax overactive muscles affected by chorea.

- Physical therapy: Exercises and physical therapy can help improve mobility, balance, and coordination.

- Occupational therapy: This therapy focuses on improving daily living activities and self-care.

- Speech therapy: It can help individuals with speech difficulties due to chorea.

Sydenham's chorea (associated with rheumatic fever):

1. Antibiotics: Penicillin or erythromycin are used to treat the underlying streptococcal infection.

2. Supportive care: Bed rest, pain relievers, and fluids may be recommended to alleviate symptoms.

Other causes of chorea:

1. Secondary chorea: Depending on the underlying condition causing chorea, treatment may involve addressing the primary medical issue. This could include managing thyroid disorders, autoimmune diseases, or infections.

2. Drug-induced chorea: Stopping the offending medication or adjusting the dosage may resolve chorea.

It is important for individuals with chorea to work closely with a healthcare team that includes neurologists, movement disorder specialists, and other relevant healthcare professionals to develop a personalized treatment plan based on their specific condition and needs.