We report a 16-year-old girl with Sydenham's chorea. Choreiform moveme
nts involved both sides of her body. MRI 2 months after the onset reve
aled abnormal increased signal on T2-weighted images and enlargement o
f the caudate and putamen bilaterally. MRI 5 months later showed resol
ution of the swelling, but with increased signal on T1-weighted images
in the putamen, globus pallidus and the head of the caudate nucleus b
ilaterally, with slightly increased signal intensity on T2-weighted im
ages.