Heat stroke presenting with choreiform dyskinesias: an unusual MRI pattern - Takeaways - MDSpire
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Choreiform Dyskinesias After Heat Stroke: An Uncommon MRI Pattern

  • By

  • Lydia Chougar

  • Petra Barhoum

  • Cécile Delorme

  • Clémence Marois

  • October 27, 2026

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  • 1

    Neurological abnormalities or movement disorders after heat stroke warrant brain MRI, particularly after sedation is withdrawn.

  • 2

    Cerebellar involvement is the most commonly reported neuroimaging abnormality in heat stroke.

  • 3

    Bilateral globus pallidus injury is an uncommon but characteristic and potentially underrecognized MRI finding after heat stroke.

  • 4

    Pallidal injury may cause chorea, dystonia, or mixed hyperkinetic movement disorders through motor disinhibition.

  • 5

    The patient’s persistent disorder of consciousness was not explained by pallidal lesions and was likely multifactorial.

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