Contemporary encephalitis lethargica presenting with agitated catatonia, stereotypy, and dystonia‐parkinsonism
Identifieur interne : 002F39 ( Main/Exploration ); précédent : 002F38; suivant : 002F40Contemporary encephalitis lethargica presenting with agitated catatonia, stereotypy, and dystonia‐parkinsonism
Auteurs : Russell C. Dale [Australie] ; Richard Webster [Australie] ; Deepak Gill [Australie]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-11-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adolescent, Agitation, Catatonia, Catatonia (diagnosis), Catatonia (etiology), Catatonia (therapy), Child, Coprolalia, Dopamine, Dopamine (physiology), Dystonia, Dystonia (diagnosis), Dystonia (etiology), Dystonia (therapy), Encephalitis, Humans, Insomnia, Intensive Care, Male, Nervous system diseases, Parkinson Disease, Postencephalitic (complications), Parkinson Disease, Postencephalitic (diagnosis), Parkinson Disease, Postencephalitic (therapy), Parkinsonism, Recovery of Function, Stereotypic Movement Disorder (diagnosis), Stereotypic Movement Disorder (etiology), Stereotypic Movement Disorder (therapy), Stereotypy, coprolalia, dopamine, insomnia, oligoclonal bands.
- MESH :
- chemical , physiology : Dopamine.
- complications : Parkinson Disease, Postencephalitic.
- diagnosis : Catatonia, Dystonia, Parkinson Disease, Postencephalitic, Stereotypic Movement Disorder.
- etiology : Catatonia, Dystonia, Stereotypic Movement Disorder.
- therapy : Catatonia, Dystonia, Parkinson Disease, Postencephalitic, Stereotypic Movement Disorder.
- Adolescent, Child, Humans, Intensive Care, Male, Recovery of Function.
Abstract
Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent‐ophthalmoplegic, hyperkinetic, and amyostatic‐akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia‐Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in‐patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21664
Affiliations:
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Le document en format XML
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2007-11-15">2007-11-15</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">15</biblScope><biblScope unit="page" from="2281">2281</biblScope><biblScope unit="page" to="2284">2284</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">F72114DB939CB0D639306DEB44542D4A6878BF64</idno><idno type="DOI">10.1002/mds.21664</idno><idno type="ArticleID">MDS21664</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Agitation</term><term>Catatonia</term><term>Catatonia (diagnosis)</term><term>Catatonia (etiology)</term><term>Catatonia (therapy)</term><term>Child</term><term>Coprolalia</term><term>Dopamine</term><term>Dopamine (physiology)</term><term>Dystonia</term><term>Dystonia (diagnosis)</term><term>Dystonia (etiology)</term><term>Dystonia (therapy)</term><term>Encephalitis</term><term>Humans</term><term>Insomnia</term><term>Intensive Care</term><term>Male</term><term>Nervous system diseases</term><term>Parkinson Disease, Postencephalitic (complications)</term><term>Parkinson Disease, Postencephalitic (diagnosis)</term><term>Parkinson Disease, Postencephalitic (therapy)</term><term>Parkinsonism</term><term>Recovery of Function</term><term>Stereotypic Movement Disorder (diagnosis)</term><term>Stereotypic Movement Disorder (etiology)</term><term>Stereotypic Movement Disorder (therapy)</term><term>Stereotypy</term><term>coprolalia</term><term>dopamine</term><term>insomnia</term><term>oligoclonal bands</term></keywords><keywords scheme="MESH" type="chemical" qualifier="physiology" xml:lang="en"><term>Dopamine</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease, Postencephalitic</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Catatonia</term><term>Dystonia</term><term>Parkinson Disease, Postencephalitic</term><term>Stereotypic Movement Disorder</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Catatonia</term><term>Dystonia</term><term>Stereotypic Movement Disorder</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Catatonia</term><term>Dystonia</term><term>Parkinson Disease, Postencephalitic</term><term>Stereotypic Movement Disorder</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Humans</term><term>Intensive Care</term><term>Male</term><term>Recovery of Function</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Agitation</term><term>Catatonie</term><term>Coprolalie</term><term>Dopamine</term><term>Dystonie</term><term>Encéphalite</term><term>Insomnie</term><term>Parkinsonisme</term><term>Pathologie du système nerveux</term><term>Stéréotypie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="de">Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent‐ophthalmoplegic, hyperkinetic, and amyostatic‐akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia‐Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in‐patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Dale, Russell C" sort="Dale, Russell C" uniqKey="Dale R" first="Russell C." last="Dale">Russell C. Dale</name></noRegion><name sortKey="Dale, Russell C" sort="Dale, Russell C" uniqKey="Dale R" first="Russell C." last="Dale">Russell C. Dale</name><name sortKey="Gill, Deepak" sort="Gill, Deepak" uniqKey="Gill D" first="Deepak" last="Gill">Deepak Gill</name><name sortKey="Webster, Richard" sort="Webster, Richard" uniqKey="Webster R" first="Richard" last="Webster">Richard Webster</name><name sortKey="Webster, Richard" sort="Webster, Richard" uniqKey="Webster R" first="Richard" last="Webster">Richard Webster</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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