MovDisordV3, PascalFrancis, Corpus, bibRecord, 001442

Contemporary Encephalitis Lethargica Presenting with Agitated Catatonia, Stereotypy, and Dystonia-Parkinsonism

Identifieur interne : 001442 ( PascalFrancis/Corpus ); précédent : 001441; suivant : 001443

Contemporary Encephalitis Lethargica Presenting with Agitated Catatonia, Stereotypy, and Dystonia-Parkinsonism

Auteurs : Russell C. Dale ; Richard Webster ; Deepak Gill

Source :

Movement disorders [ 0885-3185 ] ; 2007.

RBID : Pascal:08-0071419

Descripteurs français

Pascal (Inist)
- Pathologie du système nerveux, Encéphalite, Agitation, Dystonie, Parkinsonisme, Insomnie, Catatonie, Stéréotypie, Coprolalie, Dopamine.

English descriptors

KwdEn :
- Agitation, Catatonia, Coprolalia, Dopamine, Dystonia, Encephalitis, Insomnia, Nervous system diseases, Parkinsonism, Stereotypy.

Abstract

Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent-ophthalmoplegic, hyperkinetic, and amyostatic-akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia-Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in-patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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C01	`01`		`ENG`	@0 Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent-ophthalmoplegic, hyperkinetic, and amyostatic-akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia-Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in-patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission.
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C03	`02`	`X`	`FRE`	`@0 Encéphalite @5 02`
C03	`02`	`X`	`ENG`	`@0 Encephalitis @5 02`
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C03	`06`	`X`	`SPA`	`@0 Insomnio @5 06`
C03	`07`	`X`	`FRE`	`@0 Catatonie @5 09`
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C03	`07`	`X`	`SPA`	`@0 Catatonia @5 09`
C03	`08`	`X`	`FRE`	`@0 Stéréotypie @5 10`
C03	`08`	`X`	`ENG`	`@0 Stereotypy @5 10`
C03	`08`	`X`	`SPA`	`@0 Estereotipia @5 10`
C03	`09`	`X`	`FRE`	`@0 Coprolalie @5 11`
C03	`09`	`X`	`ENG`	`@0 Coprolalia @5 11`
C03	`09`	`X`	`SPA`	`@0 Coprolalia @5 11`
C03	`10`	`X`	`FRE`	`@0 Dopamine @2 NK @2 FR @5 12`
C03	`10`	`X`	`ENG`	`@0 Dopamine @2 NK @2 FR @5 12`
C03	`10`	`X`	`SPA`	`@0 Dopamina @2 NK @2 FR @5 12`
C07	`01`	`X`	`FRE`	`@0 Pathologie de l'encéphale @5 37`
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C07	`02`	`X`	`FRE`	`@0 Pathologie du système nerveux central @5 38`
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C07	`03`	`X`	`FRE`	`@0 Syndrome extrapyramidal @5 40`
C07	`03`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 40`
C07	`03`	`X`	`SPA`	`@0 Extrapiramidal síndrome @5 40`
C07	`04`	`X`	`FRE`	`@0 Mouvement involontaire @5 41`
C07	`04`	`X`	`ENG`	`@0 Involuntary movement @5 41`
C07	`04`	`X`	`SPA`	`@0 Movimiento involuntario @5 41`
C07	`05`	`X`	`FRE`	`@0 Pathologie du muscle strié @5 42`
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C07	`06`	`X`	`SPA`	`@0 Trastorno neurológico @5 43`
C07	`07`	`X`	`FRE`	`@0 Trouble du sommeil @5 44`
C07	`07`	`X`	`ENG`	`@0 Sleep disorder @5 44`
C07	`07`	`X`	`SPA`	`@0 Trastorno sueño @5 44`
C07	`08`	`X`	`FRE`	`@0 Catécholamine @5 45`
C07	`08`	`X`	`ENG`	`@0 Catecholamine @5 45`
C07	`08`	`X`	`SPA`	`@0 Catecolamina @5 45`
C07	`09`	`X`	`FRE`	`@0 Neurotransmetteur @5 46`
C07	`09`	`X`	`ENG`	`@0 Neurotransmitter @5 46`
C07	`09`	`X`	`SPA`	`@0 Neurotransmisor @5 46`
N21				`@1 035`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 08-0071419 INIST
ET :	Contemporary Encephalitis Lethargica Presenting with Agitated Catatonia, Stereotypy, and Dystonia-Parkinsonism
AU :	DALE (Russell C.); WEBSTER (Richard); GILL (Deepak)
AF :	Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney/Sydney, New South Wales/Australie (1 aut., 2 aut.); TY Nelson Department of Neurology and Neurosurgery, The Children's Hospital at Westmead/Sydney, New South Wales/Australie (1 aut., 2 aut., 3 aut.)
DT :	Publication en série; Courte communication, note brève; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 15; Pp. 2281-2284; Bibl. 16 ref.
LA :	Anglais
EA :	Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent-ophthalmoplegic, hyperkinetic, and amyostatic-akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia-Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in-patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission.
CC :	002B17; 002B17H; 002B17G
FD :	Pathologie du système nerveux; Encéphalite; Agitation; Dystonie; Parkinsonisme; Insomnie; Catatonie; Stéréotypie; Coprolalie; Dopamine
FG :	Pathologie de l'encéphale; Pathologie du système nerveux central; Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Trouble du sommeil; Catécholamine; Neurotransmetteur
ED :	Nervous system diseases; Encephalitis; Agitation; Dystonia; Parkinsonism; Insomnia; Catatonia; Stereotypy; Coprolalia; Dopamine
EG :	Cerebral disorder; Central nervous system disease; Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Sleep disorder; Catecholamine; Neurotransmitter
SD :	Sistema nervioso patología; Encefalitis; Agitación; Distonía; Parkinson síndrome; Insomnio; Catatonia; Estereotipia; Coprolalia; Dopamina
LO :	INIST-20953.354000162671070230
ID :	08-0071419

Links to Exploration step

Pascal:08-0071419

Le document en format XML

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<front><div type="abstract" xml:lang="en">Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent-ophthalmoplegic, hyperkinetic, and amyostatic-akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia-Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in-patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission.</div>
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<fC01 i1="01" l="ENG"><s0>Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent-ophthalmoplegic, hyperkinetic, and amyostatic-akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia-Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in-patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission.</s0>
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<s5>04</s5>
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<s2>NM</s2>
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<fC03 i1="05" i2="X" l="SPA"><s0>Parkinson síndrome</s0>
<s2>NM</s2>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Insomnie</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Insomnia</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Insomnio</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Catatonie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Catatonia</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Catatonia</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Stéréotypie</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Stereotypy</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Estereotipia</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Coprolalie</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Coprolalia</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Coprolalia</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Dopamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Dopamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Dopamina</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>12</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie du   système nerveux central</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>41</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Pathologie du muscle strié</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Striated muscle disease</s0>
<s5>42</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Músculo estriado patología</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>43</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Trouble du sommeil</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Sleep disorder</s0>
<s5>44</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Trastorno sueño</s0>
<s5>44</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Catécholamine</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Catecholamine</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Catecolamina</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE"><s0>Neurotransmetteur</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG"><s0>Neurotransmitter</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA"><s0>Neurotransmisor</s0>
<s5>46</s5>
</fC07>
<fN21><s1>035</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
</pA>
</standard>
<server><NO>PASCAL 08-0071419 INIST</NO>
<ET>Contemporary Encephalitis Lethargica Presenting with Agitated Catatonia, Stereotypy, and Dystonia-Parkinsonism</ET>
<AU>DALE (Russell C.); WEBSTER (Richard); GILL (Deepak)</AU>
<AF>Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney/Sydney, New South Wales/Australie (1 aut., 2 aut.); TY Nelson Department of Neurology and Neurosurgery, The Children's Hospital at Westmead/Sydney, New South Wales/Australie (1 aut., 2 aut., 3 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 15; Pp. 2281-2284; Bibl. 16 ref.</SO>
<LA>Anglais</LA>
<EA>Encephalitis lethargica (EL) syndrome was classically described by Von Economo and has somnolent-ophthalmoplegic, hyperkinetic, and amyostatic-akinetic forms. We describe 2 recent cases of EL characterized by an acute encephalitis with mixed movement disorders (dystonia-Parkinsonism plus stereotypy) and psychiatric disorders (agitated catatonia, coprolalia, and echo phenomena). Both patients suffered concurrent hyperkinetic and Parkinsonian features resulting in therapeutic challenges. Bradykinetic features responded to dopamine replacement therapy and both patients also had adverse affects to dopamine antagonists (oculogyric crises plus neuroleptic malignant syndrome). Investigation was unremarkable other than the presence of CSF lymphocytosis and oligoclonal bands. Despite prolonged in-patient stays and intensive care management, both patients have made complete recoveries. We believe these cases support the hypothesis that this syndrome is an inflammatory encephalitis that specifically effects dopamine neurotransmission.</EA>
<CC>002B17; 002B17H; 002B17G</CC>
<FD>Pathologie du   système nerveux; Encéphalite; Agitation; Dystonie; Parkinsonisme; Insomnie; Catatonie; Stéréotypie; Coprolalie; Dopamine</FD>
<FG>Pathologie de l'encéphale; Pathologie du   système nerveux central; Syndrome extrapyramidal; Mouvement involontaire; Pathologie du muscle strié; Trouble neurologique; Trouble du sommeil; Catécholamine; Neurotransmetteur</FG>
<ED>Nervous system diseases; Encephalitis; Agitation; Dystonia; Parkinsonism; Insomnia; Catatonia; Stereotypy; Coprolalia; Dopamine</ED>
<EG>Cerebral disorder; Central nervous system disease; Extrapyramidal syndrome; Involuntary movement; Striated muscle disease; Neurological disorder; Sleep disorder; Catecholamine; Neurotransmitter</EG>
<SD>Sistema nervioso patología; Encefalitis; Agitación; Distonía; Parkinson síndrome; Insomnio; Catatonia; Estereotipia; Coprolalia; Dopamina</SD>
<LO>INIST-20953.354000162671070230</LO>
<ID>08-0071419</ID>
</server>
</inist>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Contemporary Encephalitis Lethargica Presenting with Agitated Catatonia, Stereotypy, and Dystonia-Parkinsonism

Contemporary Encephalitis Lethargica Presenting with Agitated Catatonia, Stereotypy, and Dystonia-Parkinsonism

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