Dystonia in AIDS: Report of four cases
Identifieur interne : 004113 ( Main/Exploration ); précédent : 004112; suivant : 004114Dystonia in AIDS: Report of four cases
Auteurs : Stewart A. Factor [États-Unis] ; Michelle Troche-Panetto [États-Unis] ; Susan A. Weaver [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-12.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- AIDS, Acquired Immunodeficiency Syndrome (complications), Acquired Immunodeficiency Syndrome (pathology), Adult, Biopsy, Brain (pathology), Case study, Complication, Dystonia, Dystonia (diagnosis), Dystonia (etiology), Etiology, Female, Frontal Lobe (pathology), Humans, Leukoencephalopathy, Progressive Multifocal (etiology), Leukoencephalopathy, Progressive Multifocal (pathology), Magnetic Resonance Imaging, Male, Nuclear magnetic resonance imaging, Parietal Lobe (pathology), Progressive multifocal leukoencephalopathy, Severity of Illness Index, Slow virus, Thalamus (pathology), Toxoplasmosis, Toxoplasmosis, Cerebral (pathology), dystonia, AIDS, toxoplasmosis, neuroleptics, progressive multifocal leukoencephalopathy.
- MESH :
- complications : Acquired Immunodeficiency Syndrome.
- diagnosis : Dystonia.
- etiology : Dystonia, Leukoencephalopathy, Progressive Multifocal.
- pathology : Acquired Immunodeficiency Syndrome, Brain, Frontal Lobe, Leukoencephalopathy, Progressive Multifocal, Parietal Lobe, Thalamus, Toxoplasmosis, Cerebral.
- Adult, Biopsy, Female, Humans, Magnetic Resonance Imaging, Male, Severity of Illness Index.
Abstract
Dystonia is a rare complication of acquired immune deficiency syndrome (AIDS). We report four such cases related to three different causes. Cases 1 and 2 both developed dystonia secondary to biopsy‐proven progressive multifocal leukoencephalopathy. One had left arm dystonia, whereas the other had bilateral upper limb dystonia. One patient had associated akinesia and rigidity. Imaging demonstrated frontal and/or parietal white matter lesions but no basal ganglia abnormalities. Case 3 developed hemidystonia and cervical dystonia from biopsy‐proven toxoplasmosis with a lesion in the thalamus. Case 4 suffered from AIDS dementia complex and developed cervical dystonia while taking risperidone therapy. We also review previously reported cases of dystonia in AIDS patients with the same causes and discuss the issue of increased vulnerability of the basal ganglia to HIV infection which, in turn, leads to increased sensitivity to neuroleptics. When dystonia is seen in AIDS patients, its pattern may be a clue to the ultimate cause. © 2003 Movement Disorder Society
Url:
DOI: 10.1002/mds.10602
Affiliations:
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Le document en format XML
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<term>Biopsy</term>
<term>Brain (pathology)</term>
<term>Case study</term>
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<term>Dystonia (diagnosis)</term>
<term>Dystonia (etiology)</term>
<term>Etiology</term>
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<term>Frontal Lobe (pathology)</term>
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<term>Leukoencephalopathy, Progressive Multifocal (pathology)</term>
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<term>Slow virus</term>
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<term>Parietal Lobe</term>
<term>Thalamus</term>
<term>Toxoplasmosis, Cerebral</term>
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<term>Biopsy</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
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<term>Imagerie RMN</term>
<term>Leucoencéphalopathie progressive multifocale</term>
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<term>SIDA</term>
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<front><div type="abstract" xml:lang="en">Dystonia is a rare complication of acquired immune deficiency syndrome (AIDS). We report four such cases related to three different causes. Cases 1 and 2 both developed dystonia secondary to biopsy‐proven progressive multifocal leukoencephalopathy. One had left arm dystonia, whereas the other had bilateral upper limb dystonia. One patient had associated akinesia and rigidity. Imaging demonstrated frontal and/or parietal white matter lesions but no basal ganglia abnormalities. Case 3 developed hemidystonia and cervical dystonia from biopsy‐proven toxoplasmosis with a lesion in the thalamus. Case 4 suffered from AIDS dementia complex and developed cervical dystonia while taking risperidone therapy. We also review previously reported cases of dystonia in AIDS patients with the same causes and discuss the issue of increased vulnerability of the basal ganglia to HIV infection which, in turn, leads to increased sensitivity to neuroleptics. When dystonia is seen in AIDS patients, its pattern may be a clue to the ultimate cause. © 2003 Movement Disorder Society</div>
</front>
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