Page 325 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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C.  Chorea

                     Genetic defect              Sydenham’s chorea
                                           Rheumatic fever

                                              Deposition of
                                             immune complexes

                                         2                             Basal Ganglia II
                                               Reversible
             Glutamate                         cell damage  Involuntary
                                                        movements
                      Glutamate action
                                                              Chorea   the
                                                      Thalamus         of
                                                                       Diseases
                          2+
                        Ca  inflow
                            Irreversible
                            degeneration
               Ca 2+                            Pallidum    Substantia  Plate 10.9
                                                            nigra
        1              Huntington’s chorea  Striatum


        D.  Hemiballism and Tardive Dyskinesia
                                        Treatment with
                                        neuroleptics
         Ischemia,
         tumor
                    Flinging movements  Receptor density  Dopamine
                            Hemiballism
                                        Dopaminergic
          Cell death in the             overstimulation
          subthalamic nucleus
                              Thalamus            Involuntary movements
                                                      Tardive    dyskinesia

                           Substantia
             Pallidum      nigra
        1




                                      2      Dopamine                 315


       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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