Movement Disorders (revue)

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A progressive, fatal dystonia‐Parkinsonism syndrome in a patient with primary immunodeficiency receiving chronic IVIG therapy

Identifieur interne : 003627 ( Istex/Corpus ); précédent : 003626; suivant : 003628

A progressive, fatal dystonia‐Parkinsonism syndrome in a patient with primary immunodeficiency receiving chronic IVIG therapy

Auteurs : Spiridon Papapetropoulos ; Jennifer Friedman ; Craig Blackstone ; Gary I. Kleiner ; Brian C. Bowen ; Carlos Singer

Source :

RBID : ISTEX:0B712CF686756E31717AA32DCDC2C6AD9AEA9A53

English descriptors

Abstract

X‐linked agammaglobulinemia (XLA) is a primary immunodeficiency disorder caused by a mutation in the Bruton agammaglobulinemia tyrosine kinase gene that results in severe B‐cell deficiency. So far, neurological complications of XLA have been primarily related to acute and/or chronic central nervous system enteroviral infections. In the last few years a progressive neurodegenerative syndrome of unknown etiology has been described in XLA patients. We describe and present a video of an XLA patient who developed a fatal dementing, dystonia‐Parkinsonism syndrome 14 years into his immune disorder. Physician awareness of this rare syndrome may lead to its better characterization and management. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21631

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ISTEX:0B712CF686756E31717AA32DCDC2C6AD9AEA9A53

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<caption>Segment 1.The video demonstrates the prominent features of the neurodegenerative syndrome in our patient: There is cognitive impairment, aphonia, supranuclear gaze palsy, and eyelid apraxia. Limb dystonia and bradykinesia with left side predominance are also noted. There is gait disturbance with freezing, start hesitation, and postural instability.</caption>
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<abstract lang="en">X‐linked agammaglobulinemia (XLA) is a primary immunodeficiency disorder caused by a mutation in the Bruton agammaglobulinemia tyrosine kinase gene that results in severe B‐cell deficiency. So far, neurological complications of XLA have been primarily related to acute and/or chronic central nervous system enteroviral infections. In the last few years a progressive neurodegenerative syndrome of unknown etiology has been described in XLA patients. We describe and present a video of an XLA patient who developed a fatal dementing, dystonia‐Parkinsonism syndrome 14 years into his immune disorder. Physician awareness of this rare syndrome may lead to its better characterization and management. © 2007 Movement Disorder Society</abstract>
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<note type="content"> This article includes supplementary video clips, available online at http://www.interscience.wiley.com/jpages/0885‐3185/suppmatSupporting Info Item: Segment 1.The video demonstrates the prominent features of the neurodegenerative syndrome in our patient: There is cognitive impairment, aphonia, supranuclear gaze palsy, and eyelid apraxia. Limb dystonia and bradykinesia with left side predominance are also noted. There is gait disturbance with freezing, start hesitation, and postural instability. - </note>
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