Physiological assessment of paroxysmal dystonia secondary to subacute sclerosing panencephalitis.
Identifieur interne : 000667 ( Ncbi/Checkpoint ); précédent : 000666; suivant : 000668Physiological assessment of paroxysmal dystonia secondary to subacute sclerosing panencephalitis.
Auteurs : William G. Ondo [États-Unis] ; Amit VermaSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- MESH :
- complications : Subacute Sclerosing Panencephalitis.
- diagnosis : Dystonia.
- etiology : Dystonia.
- metabolism : Brain.
- Adult, Electroencephalography, Fatal Outcome, Female, Humans, Severity of Illness Index, Tomography, Emission-Computed, Single-Photon.
Abstract
We report on a 26-year-old woman with subacute sclerosing panencephalitis (SSPE) who presented with frequent paroxysmal dystonic posturing. Electroencephalogram demonstrated generalized 5 to 10-second episodes of high-amplitude (150-300 microV) delta activity alternating with 10 to 20-second periods of theta activity (40-50 microV). The patient experienced episodes of dystonic posturing coinciding with the periods of delta activity. Ictal Tc-99m Ceretec SPECT demonstrated marked increased activity in the bilateral caudate (R>L). The frequency and amplitude of the episodes initially markedly improved after the addition of carbamazepine. We suggest that the movements seen in this case of SSPE may represent basal ganglia ictal activity.
PubMed: 11835454
Affiliations:
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pubmed:11835454Le document en format XML
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<author><name sortKey="Ondo, William G" sort="Ondo, William G" uniqKey="Ondo W" first="William G" last="Ondo">William G. Ondo</name>
<affiliation wicri:level="2"><nlm:affiliation>Baylor College of Medicine, Department of Neurology, Houston, Texas, USA. wondo@bcm.tmc.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Baylor College of Medicine, Department of Neurology, Houston, Texas</wicri:regionArea>
<placeName><region type="state">Texas</region>
</placeName>
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<author><name sortKey="Verma, Amit" sort="Verma, Amit" uniqKey="Verma A" first="Amit" last="Verma">Amit Verma</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Physiological assessment of paroxysmal dystonia secondary to subacute sclerosing panencephalitis.</title>
<author><name sortKey="Ondo, William G" sort="Ondo, William G" uniqKey="Ondo W" first="William G" last="Ondo">William G. Ondo</name>
<affiliation wicri:level="2"><nlm:affiliation>Baylor College of Medicine, Department of Neurology, Houston, Texas, USA. wondo@bcm.tmc.edu</nlm:affiliation>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Brain (metabolism)</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (etiology)</term>
<term>Electroencephalography</term>
<term>Fatal Outcome</term>
<term>Female</term>
<term>Humans</term>
<term>Severity of Illness Index</term>
<term>Subacute Sclerosing Panencephalitis (complications)</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Subacute Sclerosing Panencephalitis</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dystonia</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dystonia</term>
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<term>Electroencephalography</term>
<term>Fatal Outcome</term>
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<front><div type="abstract" xml:lang="en">We report on a 26-year-old woman with subacute sclerosing panencephalitis (SSPE) who presented with frequent paroxysmal dystonic posturing. Electroencephalogram demonstrated generalized 5 to 10-second episodes of high-amplitude (150-300 microV) delta activity alternating with 10 to 20-second periods of theta activity (40-50 microV). The patient experienced episodes of dystonic posturing coinciding with the periods of delta activity. Ictal Tc-99m Ceretec SPECT demonstrated marked increased activity in the bilateral caudate (R>L). The frequency and amplitude of the episodes initially markedly improved after the addition of carbamazepine. We suggest that the movements seen in this case of SSPE may represent basal ganglia ictal activity.</div>
</front>
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<region><li>Texas</li>
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<tree><noCountry><name sortKey="Verma, Amit" sort="Verma, Amit" uniqKey="Verma A" first="Amit" last="Verma">Amit Verma</name>
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<country name="États-Unis"><region name="Texas"><name sortKey="Ondo, William G" sort="Ondo, William G" uniqKey="Ondo W" first="William G" last="Ondo">William G. Ondo</name>
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