Movement Disorders (revue)

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Classification conundrums in paroxysmal dyskinesias: A new subtype or variations on classic themes?

Identifieur interne : 002C97 ( Istex/Corpus ); précédent : 002C96; suivant : 002C98

Classification conundrums in paroxysmal dyskinesias: A new subtype or variations on classic themes?

Auteurs : Michael H. Pourfar ; Renzo Guerrini ; Dominique Parain ; Steven J. Frucht

Source :

RBID : ISTEX:ECFE20E1E89F0FE3B29BF8FB658A94107F149824

English descriptors

Abstract

Paroxysmal movement disorders are a group of heterogeneous entities that have been categorized based on their most salient features. The four classic categories of paroxysmal dyskinesias are kinesigenic, nonkinesigenic, hypnogenic, and exercise‐induced. The phenotypic variability of these disorders, coupled with new insights into their possible etiologies, has made the task of classification increasingly problematic. We describe 4 cases that do not fit easily into the current classification scheme, compare them with four others recently described in the literature, and raise the question as to whether they constitute a new subtype. © 2005 Movement Disorder Society

Url:
DOI: 10.1002/mds.20496

Links to Exploration step

ISTEX:ECFE20E1E89F0FE3B29BF8FB658A94107F149824

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<caption> Segment 1. Case 1 at age 3, demonstrating a paroxysmal dyskinesia after getting out of the car. This episode is followed by an event of paroxysmal activity captured in sleep. The subsequent images are from events at age 5 and show another event occurring part in sleep and part while awake. Following next is an event of chorea upon awakening. The last event demonstrates running as a precipitant to a paroxysmal attack strong enough to induce a fall. Segment 2. Three events of Case 2 are documented. The first two clips are at age 3 and demonstrate an event while standing, strong enough to induce a fall, followed by one nocturnal choreic event. The last clip is at age 11 and is taken after a long car ride with difficulty getting out of the car because of dyskinesia. Segment 3. Case 3 at age 9 demonstrating a typical, choreic attack occurring during the day both while standing and seated. Segment 4. Case 4 at 14 months capturing an event in sleep followed by a waking event occurring on his mother's lap. He is unable to stand with support during the episode. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi‐annually. </caption>
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<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Columbia University Medical Center, New York, New York, USA</affiliation>
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<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Renzo</namePart>
<namePart type="family">Guerrini</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Division of Child Neurology and Psychiatry, University of Pisa and Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Dominique</namePart>
<namePart type="family">Parain</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Service de Neurophysiologie, Centre Hospitalier Universitaire de Rouen, Rouen, France</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">Steven J.</namePart>
<namePart type="family">Frucht</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Columbia University Medical Center, New York, New York, USA</affiliation>
<description>Correspondence: Department of Movement Disorders, Neurological Institute‐3, Columbia University Medical Center, New York, NY 10032</description>
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</place>
<dateIssued encoding="w3cdtf">2005-08</dateIssued>
<dateCaptured encoding="w3cdtf">2004-08-03</dateCaptured>
<dateValid encoding="w3cdtf">2004-12-14</dateValid>
<copyrightDate encoding="w3cdtf">2005</copyrightDate>
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<languageTerm type="code" authority="rfc3066">en</languageTerm>
<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract lang="en">Paroxysmal movement disorders are a group of heterogeneous entities that have been categorized based on their most salient features. The four classic categories of paroxysmal dyskinesias are kinesigenic, nonkinesigenic, hypnogenic, and exercise‐induced. The phenotypic variability of these disorders, coupled with new insights into their possible etiologies, has made the task of classification increasingly problematic. We describe 4 cases that do not fit easily into the current classification scheme, compare them with four others recently described in the literature, and raise the question as to whether they constitute a new subtype. © 2005 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>paroxysmal dyskinesias</topic>
<topic>kinesigenic</topic>
<topic>nonkinesigenic</topic>
<topic>hypnogenic</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
</titleInfo>
<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<note type="content"> This article includes Supplementary Video, available online at http://www.interscience.wiley.com/jpages/0885‐3185/suppmatSupporting Info Item: Segment 1. Case 1 at age 3, demonstrating a paroxysmal dyskinesia after getting out of the car. This episode is followed by an event of paroxysmal activity captured in sleep. The subsequent images are from events at age 5 and show another event occurring part in sleep and part while awake. Following next is an event of chorea upon awakening. The last event demonstrates running as a precipitant to a paroxysmal attack strong enough to induce a fall. Segment 2. Three events of Case 2 are documented. The first two clips are at age 3 and demonstrate an event while standing, strong enough to induce a fall, followed by one nocturnal choreic event. The last clip is at age 11 and is taken after a long car ride with difficulty getting out of the car because of dyskinesia. Segment 3. Case 3 at age 9 demonstrating a typical, choreic attack occurring during the day both while standing and seated. Segment 4. Case 4 at 14 months capturing an event in sleep followed by a waking event occurring on his mother's lap. He is unable to stand with support during the episode. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi‐annually. - </note>
<subject>
<genre>article category</genre>
<topic>Brief Report with Video</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2005</date>
<detail type="volume">
<caption>vol.</caption>
<number>20</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>8</number>
</detail>
<extent unit="pages">
<start>1047</start>
<end>1051</end>
<total>5</total>
</extent>
</part>
</relatedItem>
<identifier type="istex">ECFE20E1E89F0FE3B29BF8FB658A94107F149824</identifier>
<identifier type="DOI">10.1002/mds.20496</identifier>
<identifier type="ArticleID">MDS20496</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 Movement Disorder Society</accessCondition>
<recordInfo>
<recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin>
<recordContentSource>WILEY</recordContentSource>
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