Adult-onset tic disorder, motor stereotypies, and behavioural disturbance associated with antibasal ganglia antibodies.
Identifieur interne : 001000 ( Ncbi/Curation ); précédent : 000F99; suivant : 001001Adult-onset tic disorder, motor stereotypies, and behavioural disturbance associated with antibasal ganglia antibodies.
Auteurs : Mark J. Edwards [Royaume-Uni] ; Russell C. Dale ; Andrew J. Church ; Eleni Trikouli ; Niall P. Quinn ; Andrew J. Lees ; Gavin Giovannoni ; Kailash P. BhatiaSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2004.
English descriptors
- KwdEn :
- Adult, Age of Onset, Autoantibodies (immunology), Basal Ganglia (immunology), Botulinum Toxins (therapeutic use), Brain (pathology), Enzyme-Linked Immunosorbent Assay, Female, Humans, Magnetic Resonance Imaging, Male, Mental Disorders (diagnosis), Mental Disorders (immunology), Neuromuscular Agents (therapeutic use), Stereotypic Movement Disorder (diagnosis), Stereotypic Movement Disorder (immunology), Tic Disorders (diagnosis), Tic Disorders (drug therapy), Tic Disorders (immunology).
- MESH :
- chemical , immunology : Autoantibodies.
- diagnosis : Mental Disorders, Stereotypic Movement Disorder, Tic Disorders.
- drug therapy : Tic Disorders.
- immunology : Basal Ganglia, Mental Disorders, Stereotypic Movement Disorder, Tic Disorders.
- pathology : Brain.
- chemical , therapeutic use : Botulinum Toxins, Neuromuscular Agents.
- Adult, Age of Onset, Enzyme-Linked Immunosorbent Assay, Female, Humans, Magnetic Resonance Imaging, Male.
Abstract
The onset of tics in adulthood is rare and, unlike the childhood variety, there is commonly a secondary environmental cause. We present four cases (1 man, 3 women) with an adult onset tic disorder (mean age of onset, 36 years; range, 27-42 years) associated with the presence of serum antibasal ganglia antibodies (ABGA). One patient had motor tics and unusual motor stereotypies, 2 had multiple motor and vocal tics, and the remaining patient had motor tics only. Concomitant psychiatric disturbance was noted in 3 cases. In 2 cases, there was a close temporal relationship between upper respiratory tract infection and the subsequent onset of tics. Imaging was possible in three cases and was normal in two but revealed a lesion involving the right caudate and lentiform nuclei in the other. We suggest that there might be a causal relationship between ABGA and the clinical syndrome in these cases and that ABGA should be considered as a possible etiology for adult-onset tics.
DOI: 10.1002/mds.20126
PubMed: 15390017
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<front><div type="abstract" xml:lang="en">The onset of tics in adulthood is rare and, unlike the childhood variety, there is commonly a secondary environmental cause. We present four cases (1 man, 3 women) with an adult onset tic disorder (mean age of onset, 36 years; range, 27-42 years) associated with the presence of serum antibasal ganglia antibodies (ABGA). One patient had motor tics and unusual motor stereotypies, 2 had multiple motor and vocal tics, and the remaining patient had motor tics only. Concomitant psychiatric disturbance was noted in 3 cases. In 2 cases, there was a close temporal relationship between upper respiratory tract infection and the subsequent onset of tics. Imaging was possible in three cases and was normal in two but revealed a lesion involving the right caudate and lentiform nuclei in the other. We suggest that there might be a causal relationship between ABGA and the clinical syndrome in these cases and that ABGA should be considered as a possible etiology for adult-onset tics.</div>
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