MovDisordV3, Ncbi, Merge, bibRecord, 000C62

Dystonia in AIDS: report of four cases.

Identifieur interne : 000C62 ( Ncbi/Merge ); précédent : 000C61; suivant : 000C63

Dystonia in AIDS: report of four cases.

Auteurs : Stewart A. Factor [États-Unis] ; Michelle Troche-Panetto ; Susan A. Weaver

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2003.

RBID : pubmed:14673886

English descriptors

KwdEn :
- Acquired Immunodeficiency Syndrome (complications), Acquired Immunodeficiency Syndrome (pathology), Adult, Biopsy, Brain (pathology), Dystonia (diagnosis), Dystonia (etiology), Female, Frontal Lobe (pathology), Humans, Leukoencephalopathy, Progressive Multifocal (etiology), Leukoencephalopathy, Progressive Multifocal (pathology), Magnetic Resonance Imaging, Male, Parietal Lobe (pathology), Severity of Illness Index, Thalamus (pathology), Toxoplasmosis, Cerebral (pathology).
MESH :
- complications : Acquired Immunodeficiency Syndrome.
- diagnosis : Dystonia.
- etiology : Dystonia, Leukoencephalopathy, Progressive Multifocal.
- pathology : Acquired Immunodeficiency Syndrome, Brain, Frontal Lobe, Leukoencephalopathy, Progressive Multifocal, Parietal Lobe, Thalamus, Toxoplasmosis, Cerebral.
- Adult, Biopsy, Female, Humans, Magnetic Resonance Imaging, Male, Severity of Illness Index.

Abstract

Dystonia is a rare complication of acquired immune deficiency syndrome (AIDS). We report four such cases related to three different causes. Cases 1 and 2 both developed dystonia secondary to biopsy-proven progressive multifocal leukoencephalopathy. One had left arm dystonia, whereas the other had bilateral upper limb dystonia. One patient had associated akinesia and rigidity. Imaging demonstrated frontal and/or parietal white matter lesions but no basal ganglia abnormalities. Case 3 developed hemidystonia and cervical dystonia from biopsy-proven toxoplasmosis with a lesion in the thalamus. Case 4 suffered from AIDS dementia complex and developed cervical dystonia while taking risperidone therapy. We also review previously reported cases of dystonia in AIDS patients with the same causes and discuss the issue of increased vulnerability of the basal ganglia to HIV infection which, in turn, leads to increased sensitivity to neuroleptics. When dystonia is seen in AIDS patients, its pattern may be a clue to the ultimate cause.

DOI: 10.1002/mds.10602
PubMed: 14673886

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Le document en format XML

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<author><name sortKey="Factor, Stewart A" sort="Factor, Stewart A" uniqKey="Factor S" first="Stewart A" last="Factor">Stewart A. Factor</name>
<affiliation wicri:level="1"><nlm:affiliation>Albany Medical Center, Department of Neurology, Albany, New York 12205, USA. factors@mail.amc.edu</nlm:affiliation>
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<wicri:regionArea>Albany Medical Center, Department of Neurology, Albany, New York 12205</wicri:regionArea>
<wicri:noRegion>New York 12205</wicri:noRegion>
</affiliation>
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<author><name sortKey="Troche Panetto, Michelle" sort="Troche Panetto, Michelle" uniqKey="Troche Panetto M" first="Michelle" last="Troche-Panetto">Michelle Troche-Panetto</name>
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<author><name sortKey="Weaver, Susan A" sort="Weaver, Susan A" uniqKey="Weaver S" first="Susan A" last="Weaver">Susan A. Weaver</name>
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<term>Acquired Immunodeficiency Syndrome (pathology)</term>
<term>Adult</term>
<term>Biopsy</term>
<term>Brain (pathology)</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (etiology)</term>
<term>Female</term>
<term>Frontal Lobe (pathology)</term>
<term>Humans</term>
<term>Leukoencephalopathy, Progressive Multifocal (etiology)</term>
<term>Leukoencephalopathy, Progressive Multifocal (pathology)</term>
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<term>Severity of Illness Index</term>
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<term>Toxoplasmosis, Cerebral (pathology)</term>
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<term>Leukoencephalopathy, Progressive Multifocal</term>
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<term>Brain</term>
<term>Frontal Lobe</term>
<term>Leukoencephalopathy, Progressive Multifocal</term>
<term>Parietal Lobe</term>
<term>Thalamus</term>
<term>Toxoplasmosis, Cerebral</term>
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<term>Biopsy</term>
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<front><div type="abstract" xml:lang="en">Dystonia is a rare complication of acquired immune deficiency syndrome (AIDS). We report four such cases related to three different causes. Cases 1 and 2 both developed dystonia secondary to biopsy-proven progressive multifocal leukoencephalopathy. One had left arm dystonia, whereas the other had bilateral upper limb dystonia. One patient had associated akinesia and rigidity. Imaging demonstrated frontal and/or parietal white matter lesions but no basal ganglia abnormalities. Case 3 developed hemidystonia and cervical dystonia from biopsy-proven toxoplasmosis with a lesion in the thalamus. Case 4 suffered from AIDS dementia complex and developed cervical dystonia while taking risperidone therapy. We also review previously reported cases of dystonia in AIDS patients with the same causes and discuss the issue of increased vulnerability of the basal ganglia to HIV infection which, in turn, leads to increased sensitivity to neuroleptics. When dystonia is seen in AIDS patients, its pattern may be a clue to the ultimate cause.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Dystonia in AIDS: report of four cases.</ArticleTitle>
<Pagination><MedlinePgn>1492-8</MedlinePgn>
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<Abstract><AbstractText>Dystonia is a rare complication of acquired immune deficiency syndrome (AIDS). We report four such cases related to three different causes. Cases 1 and 2 both developed dystonia secondary to biopsy-proven progressive multifocal leukoencephalopathy. One had left arm dystonia, whereas the other had bilateral upper limb dystonia. One patient had associated akinesia and rigidity. Imaging demonstrated frontal and/or parietal white matter lesions but no basal ganglia abnormalities. Case 3 developed hemidystonia and cervical dystonia from biopsy-proven toxoplasmosis with a lesion in the thalamus. Case 4 suffered from AIDS dementia complex and developed cervical dystonia while taking risperidone therapy. We also review previously reported cases of dystonia in AIDS patients with the same causes and discuss the issue of increased vulnerability of the basal ganglia to HIV infection which, in turn, leads to increased sensitivity to neuroleptics. When dystonia is seen in AIDS patients, its pattern may be a clue to the ultimate cause.</AbstractText>
<CopyrightInformation>Copyright 2003 Movement Disorder Society</CopyrightInformation>
</Abstract>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Dystonia in AIDS: report of four cases.

Dystonia in AIDS: report of four cases.

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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