Moyamoya-induced paroxysmal dyskinesia
Identifieur interne : 004211 ( Main/Exploration ); précédent : 004210; suivant : 004212Moyamoya-induced paroxysmal dyskinesia
Auteurs : Pedro Gonzalez-Alegre [États-Unis] ; Zakaria Ammache [États-Unis] ; Patricia H. Davis [États-Unis] ; Robert L. Rodnitzky [États-Unis]Source :
- Movement disorders [ 0885-3185 ] ; 2003.
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- Pascal (Inist)
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Abstract
Moyamoya disease (MMD) is an uncommon intracranial vasculopathy that typically presents with ischemic or hemorrhagic stroke. Persistent choreoathetosis has been identified as a rare early manifestation of MMD. We present 2 patients with paroxysmal dyskinesia as the initial symptom of MMD, one resembling paroxysmal kinesigenic dyskinesia (PKD) and the other paroxysmal non-kinesigenic dyskinesia (PNKD). We also review the cases of moyamoya-induced chorea reported previously, none of which resembled PKD or PNKD. We hypothesize that both hormonal and ischemic factors may be implicated in the pathogenesis of these abnormal involuntary movements. These cases suggest that MMD should be included in the differential diagnosis of PKD and PNKD.
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Davis</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Neurology, University of Iowa College of Medicine</s1><s2>Iowa City, Iowa</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Iowa</region></placeName></affiliation></author><author><name sortKey="Rodnitzky, Robert L" sort="Rodnitzky, Robert L" uniqKey="Rodnitzky R" first="Robert L." last="Rodnitzky">Robert L. Rodnitzky</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Neurology, University of Iowa College of Medicine</s1><s2>Iowa City, Iowa</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Iowa</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bibliographic review</term><term>Case study</term><term>Chorea</term><term>Complication</term><term>Dyskinesia</term><term>Human</term><term>Nishimoto Kudo disease</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Dyskinésie</term><term>Nishimoto Kudo maladie</term><term>Chorée syndrome</term><term>Complication</term><term>Etude cas</term><term>Revue bibliographique</term><term>Homme</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Moyamoya disease (MMD) is an uncommon intracranial vasculopathy that typically presents with ischemic or hemorrhagic stroke. Persistent choreoathetosis has been identified as a rare early manifestation of MMD. We present 2 patients with paroxysmal dyskinesia as the initial symptom of MMD, one resembling paroxysmal kinesigenic dyskinesia (PKD) and the other paroxysmal non-kinesigenic dyskinesia (PNKD). We also review the cases of moyamoya-induced chorea reported previously, none of which resembled PKD or PNKD. We hypothesize that both hormonal and ischemic factors may be implicated in the pathogenesis of these abnormal involuntary movements. These cases suggest that MMD should be included in the differential diagnosis of PKD and PNKD.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Iowa</li></region></list><tree><country name="États-Unis"><region name="Iowa"><name sortKey="Gonzalez Alegre, Pedro" sort="Gonzalez Alegre, Pedro" uniqKey="Gonzalez Alegre P" first="Pedro" last="Gonzalez-Alegre">Pedro Gonzalez-Alegre</name></region><name sortKey="Ammache, Zakaria" sort="Ammache, Zakaria" uniqKey="Ammache Z" first="Zakaria" last="Ammache">Zakaria Ammache</name><name sortKey="Davis, Patricia H" sort="Davis, Patricia H" uniqKey="Davis P" first="Patricia H." last="Davis">Patricia H. Davis</name><name sortKey="Rodnitzky, Robert L" sort="Rodnitzky, Robert L" uniqKey="Rodnitzky R" first="Robert L." last="Rodnitzky">Robert L. Rodnitzky</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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