Progressive pseudobulbar paresis, early choreiform movements, and later rigidity: Appearance in two sets of dizygotic twins in the same family
Identifieur interne : 004F15 ( Main/Exploration ); précédent : 004F14; suivant : 004F16Progressive pseudobulbar paresis, early choreiform movements, and later rigidity: Appearance in two sets of dizygotic twins in the same family
Auteurs : Sturla E. Johnson [Norvège] ; Arve Dahl ; Ottar Sjaastad [Norvège]Source :
- Movement Disorders [ 0885-3185 ] ; 1998-05.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Acanthocytosis, Adult, Brain (vertebrata), Chorea, Chorea (diagnosis), Chorea (genetics), Choreiform movements, Deglutition Disorders (diagnosis), Deglutition Disorders (genetics), Diseases in Twins (genetics), Dysarthria (diagnosis), Dysarthria (genetics), Family study, Female, Follow-Up Studies, Human, Humans, Male, Muscle Rigidity (diagnosis), Muscle Rigidity (genetics), Nuclear magnetic resonance imaging, Paralysis (diagnosis), Paralysis (genetics), Parkinson Disease, Secondary (diagnosis), Parkinson Disease, Secondary (genetics), Parkinsonism, Pedigree, Pseudobulbar paralysis, Pseudobulbar paresis, Spasticity, Symptomatology, Twins, Twins, Dizygotic (genetics).
- MESH :
- diagnosis : Chorea, Deglutition Disorders, Dysarthria, Muscle Rigidity, Paralysis, Parkinson Disease, Secondary.
- genetics : Chorea, Deglutition Disorders, Diseases in Twins, Dysarthria, Muscle Rigidity, Paralysis, Parkinson Disease, Secondary, Twins, Dizygotic.
- Adult, Female, Follow-Up Studies, Humans, Male, Pedigree.
Abstract
In a family with two sets of dizygotic twins, three, possibly all four, siblings were affected by the same disorder. The parents were unrelated and the illness seemed limited to one generation. Onset was in the early to mid‐20s with tics and choreiform movements, dysarthria, and dysphagia. Two twins had epilepsy. There was a marked dyscoordination of bulbar musculature reminiscent of pseudobulbar paresis. Involuntary movements were prominent during the first years, but then disappeared and were replaced by an akinetic‐rigid parkinsonian appearance in the late stage. The intellect remained largely intact. Tendon reflexes were reduced. Varying degrees of peripheral nerve changes were seen. Two patients died after 22–24 years from causes indirectly related to the main illness. Marked degenerative changes were found in the caudate nucleus and putamen. Acanthocytes in significant numbers could not be detected in peripheral blood. Lipoproteinelectrophoresis was normal. Creatine kinase levels were moderately raised in one patient, normal in the others. Although certain clinical resemblances exist with neuroacanthocytosis, the exact nosologic status of the disorder has not been determined.
Url:
DOI: 10.1002/mds.870130331
Affiliations:
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Le document en format XML
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<placeName><settlement type="city">Trondheim</settlement>
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<wicri:orgArea>Department of Neurology, University Hospital, RiT</wicri:orgArea>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acanthocytosis</term>
<term>Adult</term>
<term>Brain (vertebrata)</term>
<term>Chorea</term>
<term>Chorea (diagnosis)</term>
<term>Chorea (genetics)</term>
<term>Choreiform movements</term>
<term>Deglutition Disorders (diagnosis)</term>
<term>Deglutition Disorders (genetics)</term>
<term>Diseases in Twins (genetics)</term>
<term>Dysarthria (diagnosis)</term>
<term>Dysarthria (genetics)</term>
<term>Family study</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Human</term>
<term>Humans</term>
<term>Male</term>
<term>Muscle Rigidity (diagnosis)</term>
<term>Muscle Rigidity (genetics)</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Paralysis (diagnosis)</term>
<term>Paralysis (genetics)</term>
<term>Parkinson Disease, Secondary (diagnosis)</term>
<term>Parkinson Disease, Secondary (genetics)</term>
<term>Parkinsonism</term>
<term>Pedigree</term>
<term>Pseudobulbar paralysis</term>
<term>Pseudobulbar paresis</term>
<term>Spasticity</term>
<term>Symptomatology</term>
<term>Twins</term>
<term>Twins, Dizygotic (genetics)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Chorea</term>
<term>Deglutition Disorders</term>
<term>Dysarthria</term>
<term>Muscle Rigidity</term>
<term>Paralysis</term>
<term>Parkinson Disease, Secondary</term>
</keywords>
<keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Chorea</term>
<term>Deglutition Disorders</term>
<term>Diseases in Twins</term>
<term>Dysarthria</term>
<term>Muscle Rigidity</term>
<term>Paralysis</term>
<term>Parkinson Disease, Secondary</term>
<term>Twins, Dizygotic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Pedigree</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Chorée syndrome</term>
<term>Encéphale</term>
<term>Etude familiale</term>
<term>Homme</term>
<term>Hypertonie spastique</term>
<term>Imagerie RMN</term>
<term>Paralysie pseudobulbaire</term>
<term>Symptomatologie</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<front><div type="abstract" xml:lang="en">In a family with two sets of dizygotic twins, three, possibly all four, siblings were affected by the same disorder. The parents were unrelated and the illness seemed limited to one generation. Onset was in the early to mid‐20s with tics and choreiform movements, dysarthria, and dysphagia. Two twins had epilepsy. There was a marked dyscoordination of bulbar musculature reminiscent of pseudobulbar paresis. Involuntary movements were prominent during the first years, but then disappeared and were replaced by an akinetic‐rigid parkinsonian appearance in the late stage. The intellect remained largely intact. Tendon reflexes were reduced. Varying degrees of peripheral nerve changes were seen. Two patients died after 22–24 years from causes indirectly related to the main illness. Marked degenerative changes were found in the caudate nucleus and putamen. Acanthocytes in significant numbers could not be detected in peripheral blood. Lipoproteinelectrophoresis was normal. Creatine kinase levels were moderately raised in one patient, normal in the others. Although certain clinical resemblances exist with neuroacanthocytosis, the exact nosologic status of the disorder has not been determined.</div>
</front>
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<affiliations><list><country><li>Norvège</li>
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<region><li>Trøndelag</li>
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<tree><noCountry><name sortKey="Dahl, Arve" sort="Dahl, Arve" uniqKey="Dahl A" first="Arve" last="Dahl">Arve Dahl</name>
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<country name="Norvège"><noRegion><name sortKey="Johnson, Sturla E" sort="Johnson, Sturla E" uniqKey="Johnson S" first="Sturla E." last="Johnson">Sturla E. Johnson</name>
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<name sortKey="Sjaastad, Ottar" sort="Sjaastad, Ottar" uniqKey="Sjaastad O" first="Ottar" last="Sjaastad">Ottar Sjaastad</name>
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