Neuropsychiatric complications in childhood Sydenham's Chorea (VN1)

  • Research type

    Research Study

  • Full title

    Investigation of the neuropsychiatric complications presenting in children with Sydenham's Chorea

  • IRAS ID

    149640

  • Contact name

    MALLIKA PUNUKOLLU

  • Contact email

    mpunukollu@nhs.net

  • Sponsor organisation

    NHS Greater Glasgow and Clyde

  • Research summary

    Sydenham’s chorea (SC) is an involuntary movement disorder. It is a manifestation of rheumatic fever and develops in susceptible individuals 4-8 weeks after a streptococcal throat infection. It remains the most common cause of chorea worldwide and typically affects children 5-18 years.

    Features of chorea include involuntary and random movements, which can affect any part of the body and have a debilitating effect. The illness can cause problems with speech, swallowing, writing in addition to muscle weakness leading to problems with walking and paralysis. Patients with SC often develop psychiatric symptoms such as anxiety, depression, obsessive compulsive disorder, tics and in some instances a psychotic illness.

    In the Royal hospital for Sick children (RHSC), Yorkhill we have had an increasing number of new presentations of SC.

    Our study aim is to interview all children with SC, and their parents, who have been referred to the Psychiatry Liaison team of the RHSC to discover whether growing up physically, emotionally and socially is experienced differently for children with SC compared with population norms for their age group. We will additionally look for signs of continuing neurological disorder.

    This will enable professionals to recognise & better manage patients with these symptoms.

  • REC name

    West of Scotland REC 5

  • REC reference

    14/WS/1083

  • Date of REC Opinion

    23 Sep 2014

  • REC opinion

    Favourable Opinion