Extraocular muscle dystonia due to acquired (non-Wilsonian) hepatocerebral degeneration.
Identifieur interne : 002076 ( Ncbi/Curation ); précédent : 002075; suivant : 002077Extraocular muscle dystonia due to acquired (non-Wilsonian) hepatocerebral degeneration.
Auteurs : Joseph Ferrara [États-Unis] ; Deepak Gupta ; Emily Foster ; Katherine Garman ; Mark StacySource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- Diagnosis, Differential, Dyskinesias (etiology), Dystonic Disorders (etiology), Female, Globus Pallidus (pathology), Hepatolenticular Degeneration (etiology), Hepatolenticular Degeneration (physiopathology), Humans, Liver Cirrhosis (complications), Magnetic Resonance Imaging, Middle Aged, Oculomotor Muscles (physiopathology), Substantia Nigra (pathology), alpha 1-Antitrypsin Deficiency (complications).
- MESH :
- complications : Liver Cirrhosis, alpha 1-Antitrypsin Deficiency.
- etiology : Dyskinesias, Dystonic Disorders, Hepatolenticular Degeneration.
- pathology : Globus Pallidus, Substantia Nigra.
- physiopathology : Hepatolenticular Degeneration, Oculomotor Muscles.
- Diagnosis, Differential, Female, Humans, Magnetic Resonance Imaging, Middle Aged.
Abstract
We present a video report of a patient with advanced non-Wilsonian cirrhotic liver disease who developed extraocular muscle dystonia (oculogyric crisis) and severe orofaciolingual dyskinesias. Acquired hepatocerebral degeneration causes choreic movements, especially of cranial muscles, but dystonic ocular spasm is an infrequent manifestation of this disorder. This case illustrates that AHD should be considered in the differential diagnosis of extraocular muscle dystonia.
DOI: 10.1002/mds.21841
PubMed: 18361477
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pubmed:18361477Le document en format XML
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<author><name sortKey="Ferrara, Joseph" sort="Ferrara, Joseph" uniqKey="Ferrara J" first="Joseph" last="Ferrara">Joseph Ferrara</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Division of Neurology, Duke University Medical Center, Durham, North Carolina, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, Division of Neurology, Duke University Medical Center, Durham, North Carolina</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
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<author><name sortKey="Gupta, Deepak" sort="Gupta, Deepak" uniqKey="Gupta D" first="Deepak" last="Gupta">Deepak Gupta</name>
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<author><name sortKey="Foster, Emily" sort="Foster, Emily" uniqKey="Foster E" first="Emily" last="Foster">Emily Foster</name>
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<author><name sortKey="Garman, Katherine" sort="Garman, Katherine" uniqKey="Garman K" first="Katherine" last="Garman">Katherine Garman</name>
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<author><name sortKey="Stacy, Mark" sort="Stacy, Mark" uniqKey="Stacy M" first="Mark" last="Stacy">Mark Stacy</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Extraocular muscle dystonia due to acquired (non-Wilsonian) hepatocerebral degeneration.</title>
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<affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Division of Neurology, Duke University Medical Center, Durham, North Carolina, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Foster, Emily" sort="Foster, Emily" uniqKey="Foster E" first="Emily" last="Foster">Emily Foster</name>
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<author><name sortKey="Garman, Katherine" sort="Garman, Katherine" uniqKey="Garman K" first="Katherine" last="Garman">Katherine Garman</name>
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<author><name sortKey="Stacy, Mark" sort="Stacy, Mark" uniqKey="Stacy M" first="Mark" last="Stacy">Mark Stacy</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="eISSN">1531-8257</idno>
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<term>Globus Pallidus (pathology)</term>
<term>Hepatolenticular Degeneration (etiology)</term>
<term>Hepatolenticular Degeneration (physiopathology)</term>
<term>Humans</term>
<term>Liver Cirrhosis (complications)</term>
<term>Magnetic Resonance Imaging</term>
<term>Middle Aged</term>
<term>Oculomotor Muscles (physiopathology)</term>
<term>Substantia Nigra (pathology)</term>
<term>alpha 1-Antitrypsin Deficiency (complications)</term>
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<term>alpha 1-Antitrypsin Deficiency</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dyskinesias</term>
<term>Dystonic Disorders</term>
<term>Hepatolenticular Degeneration</term>
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<term>Substantia Nigra</term>
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<term>Oculomotor Muscles</term>
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<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
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<front><div type="abstract" xml:lang="en">We present a video report of a patient with advanced non-Wilsonian cirrhotic liver disease who developed extraocular muscle dystonia (oculogyric crisis) and severe orofaciolingual dyskinesias. Acquired hepatocerebral degeneration causes choreic movements, especially of cranial muscles, but dystonic ocular spasm is an infrequent manifestation of this disorder. This case illustrates that AHD should be considered in the differential diagnosis of extraocular muscle dystonia.</div>
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