Movement Disorders (revue)

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Atypical movement disorders in antiphospholipid syndrome.

Identifieur interne : 001598 ( Ncbi/Checkpoint ); précédent : 001597; suivant : 001599

Atypical movement disorders in antiphospholipid syndrome.

Auteurs : Davide Martino [Royaume-Uni] ; Nee-Kong Chew ; Pablo Mir ; Mark J. Edwards ; Niall P. Quinn ; Kailash P. Bhatia

Source :

RBID : pubmed:16538618

English descriptors

Abstract

Movement disorders have only rarely been reported in association with antiphospholipid syndrome (APS). In such cases, chorea is the most common disorder observed, with occasional reports of hemidystonia, Parkinsonism, and hemiballism. We report here on 3 cases of APS (3 women ages 16, 46, and 56 years) who presented with movement disorders, including tics, tremor, myoclonus, and a corticobasal syndrome, never or rarely reported in association with this disease. Mild executive dysfunction was observed in all 3 patients. We also report the successful treatment of two of these patients with mild oral anticoagulation (INR 2-3). Movement disorders in APS seem more clinically heterogeneous than previously thought. Oral anticoagulation should be considered in the treatment of movement disorders associated with APS.

DOI: 10.1002/mds.20842
PubMed: 16538618


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pubmed:16538618

Le document en format XML

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<term>Adolescent</term>
<term>Antiphospholipid Syndrome (diagnosis)</term>
<term>Antiphospholipid Syndrome (drug therapy)</term>
<term>Antiphospholipid Syndrome (physiopathology)</term>
<term>Brain (pathology)</term>
<term>Brain (physiopathology)</term>
<term>Cerebral Infarction (diagnosis)</term>
<term>Cerebral Infarction (drug therapy)</term>
<term>Cerebral Infarction (physiopathology)</term>
<term>Diagnosis, Differential</term>
<term>Dyskinesias (diagnosis)</term>
<term>Dyskinesias (drug therapy)</term>
<term>Dyskinesias (physiopathology)</term>
<term>Electroencephalography (drug effects)</term>
<term>Electromyography (drug effects)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Frontal Lobe (pathology)</term>
<term>Frontal Lobe (physiopathology)</term>
<term>Humans</term>
<term>Lupus Erythematosus, Systemic (diagnosis)</term>
<term>Lupus Erythematosus, Systemic (drug therapy)</term>
<term>Lupus Erythematosus, Systemic (physiopathology)</term>
<term>Magnetic Resonance Imaging</term>
<term>Middle Aged</term>
<term>Movement Disorders (diagnosis)</term>
<term>Movement Disorders (drug therapy)</term>
<term>Movement Disorders (physiopathology)</term>
<term>Myoclonus (diagnosis)</term>
<term>Myoclonus (drug therapy)</term>
<term>Myoclonus (physiopathology)</term>
<term>Neurologic Examination (drug effects)</term>
<term>Neuropsychological Tests</term>
<term>Occipital Lobe (pathology)</term>
<term>Occipital Lobe (physiopathology)</term>
<term>Phenindione (therapeutic use)</term>
<term>Phenprocoumon (therapeutic use)</term>
<term>Sneddon Syndrome (diagnosis)</term>
<term>Sneddon Syndrome (drug therapy)</term>
<term>Sneddon Syndrome (physiopathology)</term>
<term>Spinocerebellar Degenerations (diagnosis)</term>
<term>Spinocerebellar Degenerations (drug therapy)</term>
<term>Spinocerebellar Degenerations (physiopathology)</term>
<term>Tics (diagnosis)</term>
<term>Tics (drug therapy)</term>
<term>Tics (physiopathology)</term>
<term>Tourette Syndrome (diagnosis)</term>
<term>Tourette Syndrome (drug therapy)</term>
<term>Tourette Syndrome (physiopathology)</term>
<term>Tremor (diagnosis)</term>
<term>Tremor (drug therapy)</term>
<term>Tremor (physiopathology)</term>
<term>Warfarin (therapeutic use)</term>
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<term>Diagnosis, Differential</term>
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<term>Follow-Up Studies</term>
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<div type="abstract" xml:lang="en">Movement disorders have only rarely been reported in association with antiphospholipid syndrome (APS). In such cases, chorea is the most common disorder observed, with occasional reports of hemidystonia, Parkinsonism, and hemiballism. We report here on 3 cases of APS (3 women ages 16, 46, and 56 years) who presented with movement disorders, including tics, tremor, myoclonus, and a corticobasal syndrome, never or rarely reported in association with this disease. Mild executive dysfunction was observed in all 3 patients. We also report the successful treatment of two of these patients with mild oral anticoagulation (INR 2-3). Movement disorders in APS seem more clinically heterogeneous than previously thought. Oral anticoagulation should be considered in the treatment of movement disorders associated with APS.</div>
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