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May 1961, Vol 101, No. 5 >
Article | May 1961

Papilledema in Sydenham's Chorea FREE

RAYMOND W. M. CHUN, M.D.; NATHAN J. SMITH, M.D.; FRANCIS M. FORSTER, M.D.
[+] Author Affiliations

Submitted for publication July 25, 1960.

This work was supported in part by Special Traineeship Grant BT-396(C1) of National Institute of Neurological Diseases and Blindness, U.S. Public Health Service.


Am J Dis Child. 1961;101(5):641-644. doi:10.1001/archpedi.1961.04020060099014.
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Comments

There are numerous reports of papilledema in association with various disease entities either with1,2 or without the presence of increased intracranial pressure.3,4 The association is most frequent with intracranial space occupying lesions such as those produced by brain tumor.5,6 Infection,7,8 trauma,9 heavy metal toxicity,10 and metabolic diseases,11,12 as well as numerous other clinical states have been known for many years to occur with papilledema.13-17 Recently, attention has been redirected to the syndrome of benign intracranial hypertension.18-22

This paper reports the findings on an 8-year-old girl studied at the University of Wisconsin Hospitals who had classical physical findings of Sydenham's chorea and papilledema. A search of the world medical literature reveals a marked paucity of reports dealing with the simultaneous occurrence of these conditions.

Report of Case  The patient is an 8-year-old white girl who was admitted to the University Hospitals on

REFERENCES

1 +
Ford, F. R., and Murphy. E. L.:  Increased Intracranial Pressure. A Clinical Analysis of Causes and Characteristics of Several Types , Bull. Johns Hopkins Hosp. 64:369-398, 1939;.
2 +
Newman, E. W.:  Ocular Signs of Intracranial Disease in Children and Juveniles: A Report of 42 Cases , Am. J. Ophth. 21:268-292, 1938;.
3 +
Dandy, W. E.:  Papilledema Without Intracranial Pressure , Am. Surg. 110:161-168, 1939;.
4 +
Bedell, A.:  Papilledema Without Increased Intracranial Pressure , Am. J. Ophth. 25:685-696, 1942;.
5 +
Ayer, J. B.:  Cerebrospinal Fluid (Lumbar) in Brain Tumor: Analysis of 67 Cases of Tumor and Cysts of the Brain , J.A.M.A. 90:1521, 1928;.
6 +
Uhthoff, W.:  Ophthalmic Experiences and Considerations on the Surgery of Cerebral Tumors and Tower Skulls, The Bowman Lecture , Tr. Ophth. Soc. United Kingdom 34:47-123, 1914;.
7 +
Alpers, B. J., and Yaskin, J. D.:  Choked Disc in Syphilis of Nervous System , Am. J.M. Sc. 190:333-345, 1935;.
8 +
Paterson, D., and McCreary, J. P., Editors: Pediatrics , Philadelphia, J. B. Lippincott Company, 1956;.
9 +
Kunkel, P. A., and Dandy, W. E.:  Subdural Hematoma: Diagnosis and Treatment , Arch. Surg. 38:24-54, 1939;.
10 +
Good, P.:  Choked Disc in Lead Encephalopathy , Am. J. Ophth. 24:794-797, 1941;.
11 +
Walsh, F. B.:  Papilledema Associated with Increased Intracranial Pressure in Addison's Disease , A.M.A. Arch. Ophth. 47:86, 1952;.
12 +
Collins-Williams, C.:  Idiopathic Hypoparathyroidism with Papilledema in Boy 6 Years of Age , Pediatrics 5:998-1007, 1950;.
13 +
Drew, A. L., and Magee, K. R.:  Papilledema in Guillain-Barré Syndrome , A.M.A. Arch. Neurol. & Psych. 66:744-751, 1951;.
14 +
Piel, J. J.; Thelander, H. E., and Shaw, E. B.:  Infectious Mononucleosis of Central Nervous System with Bilateral Papilledema , J. Pediat. 37:661-665, 1950;.
15 +
Watkins, C. H.; Wagener, H. P., and Brown, R. W.:  Cerebral Symptoms Accompanied by Choked Discs in Types of Blood Dyscrasia , Am. J. Ophth. 24:1374-1383, 1941;.
16 +
Lienfelder, P. J., and Paul, W. D.:  Papilledema in General Diseases , Arch. Ophth. 28: 983-987, 1942;.
17 +
Duke-Elder, W. S.:  Textbook of Ophthalmology , Vol. 3, Diseases of the Inner Eyes , St. Louis, The C. V. Mosby Company, 1941;.
18 +
Davidoff, L. M.:  Pseudotumor Cerebri: Benign Intracranial Hypertension , Neurology 6: 605-615, 1956;.
19 +
Foley, J.:  Benign Forms of Intracranial Hypertension—"Toxic" and "Otitic" Hydrocephalus , Brain 78:1-41, 1955;.
20 +
Maisel, J. E., and Caplan, J.:  Pseudotumor Cerebri: Benign Intracranial Hypertension , J. Pediat. 52:441-447, 1958;.
21 +
Gass, H. H.:  Papilledema and Pseudotumor Cerebri Following Poliomyelitis , A.M.A. J. Dis. Child. 93:640-646, 1957;.
22 +
Dees, S. C., and McKay, H., Jr.:  Occurrence of Pseudotumor Cerebri (Benign Intracranial Hypertension) During Treatment of Children with Asthma by Adrenal Steroids , Pediatrics 23:1143-1151, 1959;.
23 +
Herman, E.:  De la symptomatologie de la choree de Sydenham , Rev. Neurol. 41:424-429, 1924;.
24 +
Gowers, W. R.: A Manual and Atlas of Medical Ophthalmoscopy , Ed 4, Philadelphia, P. Blakiston's Sons & Co., 1904;.
25 +
Langdon, H. M.:  Ocular Complications of Chorea , Am. J. Ophth. 8:626-629, 1925;.
26 +
Knapp, A.:  Report of a Case of Embolism of the Central Retinal Artery in Chorea , Arch. Ophth. 47:459-461, 1918;.
27 +
Renneberg, W.:  Exakte Messung des Liquordrucks bei der Lumbapunktion im Sitzen , Deutsche med. Wchnschr. 80:1912-1913, 1955;.
28 +
Von Storch, T. J. C.; Carmichael, E. A., and Banks, T. E.:  Factors Producing Lumbar Cerebrospinal Fluid Pressure in Man in the Erect Posture , Arch. Neurol. & Psychiat. 38:1158-1175, 1937;.
29 +
Loman, J.; Myerson, A., and Goldman, D.:  Effects of Alterations in Posture on the Cerebrospinal Fluid Pressure , Arch. Neurol. & Psychiat. 33:1279-1295, 1935;.

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References

1 +
Ford, F. R., and Murphy. E. L.:  Increased Intracranial Pressure. A Clinical Analysis of Causes and Characteristics of Several Types , Bull. Johns Hopkins Hosp. 64:369-398, 1939;.
2 +
Newman, E. W.:  Ocular Signs of Intracranial Disease in Children and Juveniles: A Report of 42 Cases , Am. J. Ophth. 21:268-292, 1938;.
3 +
Dandy, W. E.:  Papilledema Without Intracranial Pressure , Am. Surg. 110:161-168, 1939;.
4 +
Bedell, A.:  Papilledema Without Increased Intracranial Pressure , Am. J. Ophth. 25:685-696, 1942;.
5 +
Ayer, J. B.:  Cerebrospinal Fluid (Lumbar) in Brain Tumor: Analysis of 67 Cases of Tumor and Cysts of the Brain , J.A.M.A. 90:1521, 1928;.
6 +
Uhthoff, W.:  Ophthalmic Experiences and Considerations on the Surgery of Cerebral Tumors and Tower Skulls, The Bowman Lecture , Tr. Ophth. Soc. United Kingdom 34:47-123, 1914;.
7 +
Alpers, B. J., and Yaskin, J. D.:  Choked Disc in Syphilis of Nervous System , Am. J.M. Sc. 190:333-345, 1935;.
8 +
Paterson, D., and McCreary, J. P., Editors: Pediatrics , Philadelphia, J. B. Lippincott Company, 1956;.
9 +
Kunkel, P. A., and Dandy, W. E.:  Subdural Hematoma: Diagnosis and Treatment , Arch. Surg. 38:24-54, 1939;.
10 +
Good, P.:  Choked Disc in Lead Encephalopathy , Am. J. Ophth. 24:794-797, 1941;.
11 +
Walsh, F. B.:  Papilledema Associated with Increased Intracranial Pressure in Addison's Disease , A.M.A. Arch. Ophth. 47:86, 1952;.
12 +
Collins-Williams, C.:  Idiopathic Hypoparathyroidism with Papilledema in Boy 6 Years of Age , Pediatrics 5:998-1007, 1950;.
13 +
Drew, A. L., and Magee, K. R.:  Papilledema in Guillain-Barré Syndrome , A.M.A. Arch. Neurol. & Psych. 66:744-751, 1951;.
14 +
Piel, J. J.; Thelander, H. E., and Shaw, E. B.:  Infectious Mononucleosis of Central Nervous System with Bilateral Papilledema , J. Pediat. 37:661-665, 1950;.
15 +
Watkins, C. H.; Wagener, H. P., and Brown, R. W.:  Cerebral Symptoms Accompanied by Choked Discs in Types of Blood Dyscrasia , Am. J. Ophth. 24:1374-1383, 1941;.
16 +
Lienfelder, P. J., and Paul, W. D.:  Papilledema in General Diseases , Arch. Ophth. 28: 983-987, 1942;.
17 +
Duke-Elder, W. S.:  Textbook of Ophthalmology , Vol. 3, Diseases of the Inner Eyes , St. Louis, The C. V. Mosby Company, 1941;.
18 +
Davidoff, L. M.:  Pseudotumor Cerebri: Benign Intracranial Hypertension , Neurology 6: 605-615, 1956;.
19 +
Foley, J.:  Benign Forms of Intracranial Hypertension—"Toxic" and "Otitic" Hydrocephalus , Brain 78:1-41, 1955;.
20 +
Maisel, J. E., and Caplan, J.:  Pseudotumor Cerebri: Benign Intracranial Hypertension , J. Pediat. 52:441-447, 1958;.
21 +
Gass, H. H.:  Papilledema and Pseudotumor Cerebri Following Poliomyelitis , A.M.A. J. Dis. Child. 93:640-646, 1957;.
22 +
Dees, S. C., and McKay, H., Jr.:  Occurrence of Pseudotumor Cerebri (Benign Intracranial Hypertension) During Treatment of Children with Asthma by Adrenal Steroids , Pediatrics 23:1143-1151, 1959;.
23 +
Herman, E.:  De la symptomatologie de la choree de Sydenham , Rev. Neurol. 41:424-429, 1924;.
24 +
Gowers, W. R.: A Manual and Atlas of Medical Ophthalmoscopy , Ed 4, Philadelphia, P. Blakiston's Sons & Co., 1904;.
25 +
Langdon, H. M.:  Ocular Complications of Chorea , Am. J. Ophth. 8:626-629, 1925;.
26 +
Knapp, A.:  Report of a Case of Embolism of the Central Retinal Artery in Chorea , Arch. Ophth. 47:459-461, 1918;.
27 +
Renneberg, W.:  Exakte Messung des Liquordrucks bei der Lumbapunktion im Sitzen , Deutsche med. Wchnschr. 80:1912-1913, 1955;.
28 +
Von Storch, T. J. C.; Carmichael, E. A., and Banks, T. E.:  Factors Producing Lumbar Cerebrospinal Fluid Pressure in Man in the Erect Posture , Arch. Neurol. & Psychiat. 38:1158-1175, 1937;.
29 +
Loman, J.; Myerson, A., and Goldman, D.:  Effects of Alterations in Posture on the Cerebrospinal Fluid Pressure , Arch. Neurol. & Psychiat. 33:1279-1295, 1935;.

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