Acute reversible parkinsonism in Epstein-Barr virus-related encephalitis lethargica-like illness.
Identifieur interne : 001507 ( Ncbi/Merge ); précédent : 001506; suivant : 001508Acute reversible parkinsonism in Epstein-Barr virus-related encephalitis lethargica-like illness.
Auteurs : Petia S. Dimova [Bulgarie] ; Veneta Bojinova ; Dimitar Georgiev ; Ivan MilanovSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
English descriptors
- KwdEn :
- Antiparkinson Agents (therapeutic use), Cerebral Ventricles (drug effects), Cerebral Ventricles (pathology), Cerebral Ventricles (virology), Child, Corpus Striatum (drug effects), Corpus Striatum (pathology), Corpus Striatum (virology), Encephalitis, Viral (complications), Encephalitis, Viral (drug therapy), Encephalitis, Viral (pathology), Epstein-Barr Virus Infections (complications), Epstein-Barr Virus Infections (drug therapy), Epstein-Barr Virus Infections (pathology), Humans, Magnetic Resonance Imaging (methods), Male, Parkinsonian Disorders (drug therapy), Parkinsonian Disorders (etiology), Parkinsonian Disorders (pathology), Parkinsonian Disorders (virology), Steroids (therapeutic use).
- MESH :
- chemical , therapeutic use : Antiparkinson Agents, Steroids.
- complications : Encephalitis, Viral, Epstein-Barr Virus Infections.
- drug effects : Cerebral Ventricles, Corpus Striatum.
- drug therapy : Encephalitis, Viral, Epstein-Barr Virus Infections, Parkinsonian Disorders.
- etiology : Parkinsonian Disorders.
- methods : Magnetic Resonance Imaging.
- pathology : Cerebral Ventricles, Corpus Striatum, Encephalitis, Viral, Epstein-Barr Virus Infections, Parkinsonian Disorders.
- virology : Cerebral Ventricles, Corpus Striatum, Parkinsonian Disorders.
- Child, Humans, Male.
Abstract
A 10-year-old boy presented with fever, headache, vomiting, and hypersomnolence. An akinetic-rigid syndrome with tremor, dysphagia, dysphonia, and sialorrhea, as well as pyramidal signs, developed. Slightly elevated protein content was found in the cerebrospinal fluid and serological investigations were suggestive of a primary Epstein-Barr virus infection. Magnetic resonance imaging (MRI) showed massive bilateral hyperintense striatal and punctiform periventricular lesions. After 2-month treatment with steroids and antiparkinsonian drugs, all features resolved without sequelae. Control MRI demonstrated only minimal residual lesions in both putamina. Strongly resembling the encephalitis lethargica-like syndrome, this case is an unusual presentation of parainfectious acute disseminated encephalitis.
DOI: 10.1002/mds.20742
PubMed: 16250020
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Dimova</name><affiliation wicri:level="3"><nlm:affiliation>Clinic of Child Neurology, St. Naum University Hospital of Neurology and Psychiatry, Sofia, Bulgaria. pdimova@cablebg.net</nlm:affiliation><country xml:lang="fr">Bulgarie</country><wicri:regionArea>Clinic of Child Neurology, St. Naum University Hospital of Neurology and Psychiatry, Sofia</wicri:regionArea><placeName><settlement type="city">Sofia</settlement><region nuts="2">Sofia-ville (oblast)</region></placeName></affiliation></author><author><name sortKey="Bojinova, Veneta" sort="Bojinova, Veneta" uniqKey="Bojinova V" first="Veneta" last="Bojinova">Veneta Bojinova</name></author><author><name sortKey="Georgiev, Dimitar" sort="Georgiev, Dimitar" uniqKey="Georgiev D" first="Dimitar" last="Georgiev">Dimitar Georgiev</name></author><author><name sortKey="Milanov, Ivan" sort="Milanov, Ivan" uniqKey="Milanov I" first="Ivan" last="Milanov">Ivan Milanov</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="doi">10.1002/mds.20742</idno><idno type="RBID">pubmed:16250020</idno><idno type="pmid">16250020</idno><idno type="wicri:Area/PubMed/Corpus">002E22</idno><idno type="wicri:Area/PubMed/Curation">002E22</idno><idno type="wicri:Area/PubMed/Checkpoint">002E94</idno><idno type="wicri:Area/Ncbi/Merge">001507</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Acute reversible parkinsonism in Epstein-Barr virus-related encephalitis lethargica-like illness.</title><author><name sortKey="Dimova, Petia S" sort="Dimova, Petia S" uniqKey="Dimova P" first="Petia S" last="Dimova">Petia S. 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An akinetic-rigid syndrome with tremor, dysphagia, dysphonia, and sialorrhea, as well as pyramidal signs, developed. Slightly elevated protein content was found in the cerebrospinal fluid and serological investigations were suggestive of a primary Epstein-Barr virus infection. Magnetic resonance imaging (MRI) showed massive bilateral hyperintense striatal and punctiform periventricular lesions. After 2-month treatment with steroids and antiparkinsonian drugs, all features resolved without sequelae. Control MRI demonstrated only minimal residual lesions in both putamina. Strongly resembling the encephalitis lethargica-like syndrome, this case is an unusual presentation of parainfectious acute disseminated encephalitis.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">16250020</PMID><DateCreated><Year>2006</Year><Month>04</Month><Day>17</Day></DateCreated><DateCompleted><Year>2006</Year><Month>09</Month><Day>26</Day></DateCompleted><DateRevised><Year>2008</Year><Month>12</Month><Day>07</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>21</Volume><Issue>4</Issue><PubDate><Year>2006</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Acute reversible parkinsonism in Epstein-Barr virus-related encephalitis lethargica-like illness.</ArticleTitle><Pagination><MedlinePgn>564-6</MedlinePgn></Pagination><Abstract><AbstractText>A 10-year-old boy presented with fever, headache, vomiting, and hypersomnolence. An akinetic-rigid syndrome with tremor, dysphagia, dysphonia, and sialorrhea, as well as pyramidal signs, developed. Slightly elevated protein content was found in the cerebrospinal fluid and serological investigations were suggestive of a primary Epstein-Barr virus infection. Magnetic resonance imaging (MRI) showed massive bilateral hyperintense striatal and punctiform periventricular lesions. After 2-month treatment with steroids and antiparkinsonian drugs, all features resolved without sequelae. Control MRI demonstrated only minimal residual lesions in both putamina. Strongly resembling the encephalitis lethargica-like syndrome, this case is an unusual presentation of parainfectious acute disseminated encephalitis.</AbstractText><CopyrightInformation>Copyright 2005 Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dimova</LastName><ForeName>Petia S</ForeName><Initials>PS</Initials><AffiliationInfo><Affiliation>Clinic of Child Neurology, St. Naum University Hospital of Neurology and Psychiatry, Sofia, Bulgaria. pdimova@cablebg.net</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bojinova</LastName><ForeName>Veneta</ForeName><Initials>V</Initials></Author><Author ValidYN="Y"><LastName>Georgiev</LastName><ForeName>Dimitar</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>Milanov</LastName><ForeName>Ivan</ForeName><Initials>I</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case 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MajorTopicYN="N" UI="D013256">Steroids</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000627">therapeutic use</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>10</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>9</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>10</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1002/mds.20742</ArticleId><ArticleId IdType="pubmed">16250020</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Bulgarie</li></country><region><li>Sofia-ville (oblast)</li></region><settlement><li>Sofia</li></settlement></list><tree><noCountry><name sortKey="Bojinova, Veneta" sort="Bojinova, Veneta" uniqKey="Bojinova V" first="Veneta" last="Bojinova">Veneta Bojinova</name><name sortKey="Georgiev, Dimitar" sort="Georgiev, Dimitar" uniqKey="Georgiev D" first="Dimitar" last="Georgiev">Dimitar Georgiev</name><name sortKey="Milanov, Ivan" sort="Milanov, Ivan" uniqKey="Milanov I" first="Ivan" last="Milanov">Ivan Milanov</name></noCountry><country name="Bulgarie"><region name="Sofia-ville (oblast)"><name sortKey="Dimova, Petia S" sort="Dimova, Petia S" uniqKey="Dimova P" first="Petia S" last="Dimova">Petia S. 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