Movement Disorders (revue)

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Postvaccinal parkinsonism

Identifieur interne : 005F41 ( Main/Exploration ); précédent : 005F40; suivant : 005F42

Postvaccinal parkinsonism

Auteurs : Alves [Brésil] ; Egberto R. Barbosa [Brésil] ; Milberto Scaff [Brésil]

Source :

RBID : ISTEX:C63AAA6CD2DA3DF7E9FBFD7A69E7B3C9A1A488E1

English descriptors

Abstract

A 5‐year‐old boy, with a history of fever beginning 15 days after a vaccination for measles, developed a rigid‐akinetic syndrome 3 days after the fever began. A spinal tap obtained 1 week after the onset of fever showed pleocytosis with a monocellular pattern. A CT scan of the head and EEG did not disclose any abnormality. An MRI performed 3 months after the event, however, showed clear‐cut evidence of bilateral substantia nigra lesions, suggesting secondary gliosis. The response to levodopa was good, but adverse reactions appeared early. The child is now 7 years old. Bromocriptine, deprenyl, and levodopa have produced a remarkable improvement of the parkinsonian features.

Url:
DOI: 10.1002/mds.870070213


Affiliations:


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Le document en format XML

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<term>Levodopa (administration & dosage)</term>
<term>Magnetic Resonance Imaging</term>
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<term>Measles Vaccine (administration & dosage)</term>
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<div type="abstract" xml:lang="en">A 5‐year‐old boy, with a history of fever beginning 15 days after a vaccination for measles, developed a rigid‐akinetic syndrome 3 days after the fever began. A spinal tap obtained 1 week after the onset of fever showed pleocytosis with a monocellular pattern. A CT scan of the head and EEG did not disclose any abnormality. An MRI performed 3 months after the event, however, showed clear‐cut evidence of bilateral substantia nigra lesions, suggesting secondary gliosis. The response to levodopa was good, but adverse reactions appeared early. The child is now 7 years old. Bromocriptine, deprenyl, and levodopa have produced a remarkable improvement of the parkinsonian features.</div>
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