Movement disorders in 30 patients with tuberculous meningitis
Identifieur interne : 004B79 ( Main/Exploration ); précédent : 004B78; suivant : 004B80Movement disorders in 30 patients with tuberculous meningitis
Auteurs : F. Alarcon [Royaume-Uni] ; G. Duenas [Royaume-Uni] ; N. Cevallos [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni]Source :
- Movement disorders [ 0885-3185 ] ; 2000.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
BACKGROUND: Movement disorders may appear during tuberculous meningitis (TbM). OBJECTIVE: To investigate the variety of movement disorders seen in TbM and consider possible pathogenic mechanisms. DESIGN: We established two diagnostic categories for TbM: definite and probable. All patients were examined clinically and with laboratory tests, computed tomographic scan, or magnetic resonance imaging. SETTING: A university hospital in Quito, Ecuador. RESULTS: Thirty of 180 consecutively studied patients with TbM developed movement disorders. Twenty-four months after treatment was completed, we determined a prognosis for the patients. Seven patients had chorea, three dystonia, and 20 tremor. One of the patients with tremor also had myoclonus and one with dystonia had tremor. The average age of the patients with chorea was lower than that of the patients with dystonia and tremor. Two patients with chorea, one with dystonia, and three patients with tremor died. The patients with chorea and dystonia had more severe disease. We found little correlation between the type, distribution, or severity of abnormal movements and the computed tomography scan or magnetic resonance image findings. CONCLUSIONS: Tremor is the most common movement disorder seen in the course of TbM. Chorea is more frequently found in young children. Deep vascular lesions are more common among patients with movement disorders.
Affiliations:
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Duenas</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neuroradiology, Eugenio Espejo Hospital</s1><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Department of Neuroradiology, Eugenio Espejo Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Cevallos, N" sort="Cevallos, N" uniqKey="Cevallos N" first="N." last="Cevallos">N. Cevallos</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Eugenio Espejo Hospital</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Department of Neurology, Eugenio Espejo Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Lees, A J" sort="Lees, A J" uniqKey="Lees A" first="A. J." last="Lees">Andrew Lees (neurologue)</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, The National Hospital for Neurology and Neurosurgery, Queens Square</s1><s2>London</s2><s3>GBR</s3><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">00-0269093</idno><date when="2000">2000</date><idno type="stanalyst">PASCAL 00-0269093 INIST</idno><idno type="RBID">Pascal:00-0269093</idno><idno type="wicri:Area/PascalFrancis/Corpus">002C15</idno><idno type="wicri:Area/PascalFrancis/Curation">000106</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">002B65</idno><idno type="wicri:doubleKey">0885-3185:2000:Alarcon F:movement:disorders:in</idno><idno type="wicri:Area/Main/Merge">007557</idno><idno type="wicri:Area/Main/Curation">004B79</idno><idno type="wicri:Area/Main/Exploration">004B79</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Movement disorders in 30 patients with tuberculous meningitis</title><author><name sortKey="Alarcon, F" sort="Alarcon, F" uniqKey="Alarcon F" first="F." last="Alarcon">F. Alarcon</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Eugenio Espejo Hospital</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Department of Neurology, Eugenio Espejo Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Duenas, G" sort="Duenas, G" uniqKey="Duenas G" first="G." last="Duenas">G. Duenas</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neuroradiology, Eugenio Espejo Hospital</s1><s3>GBR</s3><sZ>2 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Department of Neuroradiology, Eugenio Espejo Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Cevallos, N" sort="Cevallos, N" uniqKey="Cevallos N" first="N." last="Cevallos">N. Cevallos</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology, Eugenio Espejo Hospital</s1><s3>GBR</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>Department of Neurology, Eugenio Espejo Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Lees, A J" sort="Lees, A J" uniqKey="Lees A" first="A. J." last="Lees">Andrew Lees (neurologue)</name><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, The National Hospital for Neurology and Neurosurgery, Queens Square</s1><s2>London</s2><s3>GBR</s3><sZ>4 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></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="2000">2000</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>Frequency</term><term>Human</term><term>Involuntary movement</term><term>Meningitis</term><term>Symptomatology</term><term>Tuberculosis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Méningite</term><term>Tuberculose</term><term>Mouvement involontaire</term><term>Fréquence</term><term>Symptomatologie</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">BACKGROUND: Movement disorders may appear during tuberculous meningitis (TbM). OBJECTIVE: To investigate the variety of movement disorders seen in TbM and consider possible pathogenic mechanisms. DESIGN: We established two diagnostic categories for TbM: definite and probable. All patients were examined clinically and with laboratory tests, computed tomographic scan, or magnetic resonance imaging. SETTING: A university hospital in Quito, Ecuador. RESULTS: Thirty of 180 consecutively studied patients with TbM developed movement disorders. Twenty-four months after treatment was completed, we determined a prognosis for the patients. Seven patients had chorea, three dystonia, and 20 tremor. One of the patients with tremor also had myoclonus and one with dystonia had tremor. The average age of the patients with chorea was lower than that of the patients with dystonia and tremor. Two patients with chorea, one with dystonia, and three patients with tremor died. The patients with chorea and dystonia had more severe disease. We found little correlation between the type, distribution, or severity of abnormal movements and the computed tomography scan or magnetic resonance image findings. CONCLUSIONS: Tremor is the most common movement disorder seen in the course of TbM. Chorea is more frequently found in young children. Deep vascular lesions are more common among patients with movement disorders.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>National Hospital for Neurology and Neurosurgery</li></orgName></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Alarcon, F" sort="Alarcon, F" uniqKey="Alarcon F" first="F." last="Alarcon">F. Alarcon</name></noRegion><name sortKey="Cevallos, N" sort="Cevallos, N" uniqKey="Cevallos N" first="N." last="Cevallos">N. Cevallos</name><name sortKey="Duenas, G" sort="Duenas, G" uniqKey="Duenas G" first="G." last="Duenas">G. Duenas</name><name sortKey="Lees, A J" sort="Lees, A J" uniqKey="Lees A" first="A. J." last="Lees">Andrew Lees (neurologue)</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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