Counsel women with prior Sydenham chorea or rheumatic heart disease that estrogen exposure during pregnancy substantially increases their risk of chorea recurrence. When a post-stroke patient develops severe contralateral pain with disproportionate allodynia, recognize Dejerine-Roussy syndrome and initiate neuropathic pain management early because the thalamic pain often becomes the dominant long-term disability.

Clears up completely after delivery, though it does carry a risk of recurring in subsequent pregnancies; This refers to chorea that is directly precipitated by pregnancy or systemic estrogen exposure; We see it happen most frequently in women who have an underlying personal history of Sydenham chorea or rheumatic heart disease; As we just noted, it is most likely to make its clinical appearance during a woman's first pregnancy, typically concentrated right in the first trimester; Form of chorea that occurs during pregnancy, most frequently striking women during their very first pregnancy and within the first trimester