Movement Disorders (revue)

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Did Gustav Mahler have Sydenham's chorea?

Identifieur interne : 003490 ( Main/Exploration ); précédent : 003489; suivant : 003491

Did Gustav Mahler have Sydenham's chorea?

Auteurs : Francisco Cardoso [Brésil] ; Andrew Lees (neurologue) [Royaume-Uni]

Source :

RBID : ISTEX:6BB74DADF65D2F7830C9796E218EEB424AD58A61

Descripteurs français

English descriptors

Abstract

Sydenham's chorea (SC), a major manifestation of acute rheumatic fever (RF), is characterized by chorea and other motor and nonmotor features. Among the latter are behavioral symptoms, including obsessive–compulsive disorder. Although SC is typically a self‐limited condition, up to 50% of patients may evolve with persistent chorea. There is evidence that Gustav Mahler had a movement disorder, but its nature remains undetermined. There are witnesses describing him as having facial dyskinesia and a gait disorder consistent with chorea. His conducting performance was notorious for obsessive attention to details of the staging and musical production. Mahler was diagnosed with a valvulopathy in 1907 and died of subacute bacterial endocarditis in 1911. It is possible that the composer suffered from RF in childhood with carditis and SC, which may left him with valvulopathy, obsessive–compulsive disorder, and persistent chorea. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.20788


Affiliations:


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<term>Dyskinesia, Drug-Induced (etiology)</term>
<term>Endocarditis</term>
<term>Endocarditis, Subacute Bacterial (etiology)</term>
<term>Endocarditis, Subacute Bacterial (physiopathology)</term>
<term>Germany</term>
<term>Gustav Mahler</term>
<term>Heart Valve Diseases (microbiology)</term>
<term>Heart Valve Diseases (physiopathology)</term>
<term>History, 19th Century</term>
<term>History, 20th Century</term>
<term>Music (history)</term>
<term>Nervous system diseases</term>
<term>Obsessive compulsive disorder</term>
<term>Obsessive-Compulsive Disorder (diagnosis)</term>
<term>Obsessive-Compulsive Disorder (etiology)</term>
<term>Rheumatic Fever (complications)</term>
<term>Rheumatic fever</term>
<term>Subacute</term>
<term>Sydenham chorea</term>
<term>Sydenham's chorea</term>
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<term>rheumatic fever</term>
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<div type="abstract" xml:lang="en">Sydenham's chorea (SC), a major manifestation of acute rheumatic fever (RF), is characterized by chorea and other motor and nonmotor features. Among the latter are behavioral symptoms, including obsessive–compulsive disorder. Although SC is typically a self‐limited condition, up to 50% of patients may evolve with persistent chorea. There is evidence that Gustav Mahler had a movement disorder, but its nature remains undetermined. There are witnesses describing him as having facial dyskinesia and a gait disorder consistent with chorea. His conducting performance was notorious for obsessive attention to details of the staging and musical production. Mahler was diagnosed with a valvulopathy in 1907 and died of subacute bacterial endocarditis in 1911. It is possible that the composer suffered from RF in childhood with carditis and SC, which may left him with valvulopathy, obsessive–compulsive disorder, and persistent chorea. © 2006 Movement Disorder Society</div>
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