The clinical manifestations of senile chorea include dance-like movements, mental disorders, dementia, speech dysfunction, and swallowing dysfunction. Geriatric chorea is a dance movement that occurs in old age, has no family history, is mild, and has a relatively benign course. The pathologic changes of this disease are very similar to chronic progressive chorea, and current research suggests that this disease is a hereditary disease that occurs in old age. The clinical manifestations and management principles of this disease are the same as those of other chorea. 1. Choreiform movements: one of the more common symptoms of chorea in the elderly, manifested as involuntary movements of the patient’s limbs and trunk, as if dancing. Most of the patients’ seizures show that their fingers move randomly, just like playing the piano. 2. Mental disorders: common in Huntington’s disease triggered by senile chorea patients, can be manifested as depression, impulsivity, hallucinations, etc., and a more irritable temperament. 3. Dementia: Huntington’s disease-induced geriatric chorea patients may also experience a loss of concentration and memory, not recognizing their loved ones around them, and in severe cases, they may be unable to take care of themselves. 4. Speech dysfunction: some patients may have slurred speech and loss of voice. 5. Swallowing dysfunction: generally manifested as difficulty in swallowing food, especially when eating, feel blocked and laborious. When the patient has the above abnormal manifestations, we should pay attention to it and go to the hospital for consultation and treatment in time.