Movement Disorders (revue)

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A Unique Case of Coincidence of Early Onset Parkinson's Disease and Multiple Sclerosis

Identifieur interne : 001443 ( PascalFrancis/Corpus ); précédent : 001442; suivant : 001444

A Unique Case of Coincidence of Early Onset Parkinson's Disease and Multiple Sclerosis

Auteurs : Peter Valkovic ; Georgi Krastev ; Miroslav Mako ; Petra Leitner ; Thomas Gasser

Source :

RBID : Pascal:08-0071418

Descripteurs français

English descriptors

Abstract

We report on a patient who developed left arm rest/postural tremor at age 24 and responded well to tri-hexyphenidyl. One year later spastic paraparesis appeared, and multiple sclerosis was diagnosed on the basis of clinical, radiological, and laboratory evidence. Although paraparesis improved after immunosuppressant therapy, a complete picture of an asymmetric parkinsonian syndrome gradually developed. Excellent response to levodopa, drug-induced dyskinesias, and DaTSCAN revealing pathology congruent with Parkinson's disease (PD) indicate a coincidental etiopathogenetic relationship of both clinical entities: multiple sclerosis and PD. Genetic analyses focusing on autosomal recessive parkinsonism (parkin, DJ1, and PINK1) were negative. To the best of our knowledge, only 15 cases of parkinsonism in association with multiple sclerosis have been reported, and their relationship has been interpreted to be either causal or coincidental. This is the first report of a coincidence of both entities, in which the parkinsonian syndrome developed first and before age 30.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 15
A08 01  1  ENG  @1 A Unique Case of Coincidence of Early Onset Parkinson's Disease and Multiple Sclerosis
A11 01  1    @1 VALKOVIC (Peter)
A11 02  1    @1 KRASTEV (Georgi)
A11 03  1    @1 MAKO (Miroslav)
A11 04  1    @1 LEITNER (Petra)
A11 05  1    @1 GASSER (Thomas)
A14 01      @1 Department of Neurology, Trnavian University Hospital @2 Trnava @3 SVK @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 2nd Department of Neurology, School of Medicine, Comenius University @2 Bratislava @3 SVK @Z 1 aut.
A14 03      @1 Department of Neurodegenerative Diseases, Hertie-Institute for Clinical Brain Research, University of Tübingen @2 Tübingen @3 DEU @Z 4 aut. @Z 5 aut.
A20       @1 2278-2281
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000162671070220
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 15 ref.
A47 01  1    @0 08-0071418
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 We report on a patient who developed left arm rest/postural tremor at age 24 and responded well to tri-hexyphenidyl. One year later spastic paraparesis appeared, and multiple sclerosis was diagnosed on the basis of clinical, radiological, and laboratory evidence. Although paraparesis improved after immunosuppressant therapy, a complete picture of an asymmetric parkinsonian syndrome gradually developed. Excellent response to levodopa, drug-induced dyskinesias, and DaTSCAN revealing pathology congruent with Parkinson's disease (PD) indicate a coincidental etiopathogenetic relationship of both clinical entities: multiple sclerosis and PD. Genetic analyses focusing on autosomal recessive parkinsonism (parkin, DJ1, and PINK1) were negative. To the best of our knowledge, only 15 cases of parkinsonism in association with multiple sclerosis have been reported, and their relationship has been interpreted to be either causal or coincidental. This is the first report of a coincidence of both entities, in which the parkinsonian syndrome developed first and before age 30.
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C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Maladie de Parkinson @2 NM @5 02
C03 02  X  ENG  @0 Parkinson disease @2 NM @5 02
C03 02  X  SPA  @0 Parkinson enfermedad @2 NM @5 02
C03 03  X  FRE  @0 Sclérose en plaques @2 NM @5 03
C03 03  X  ENG  @0 Multiple sclerosis @2 NM @5 03
C03 03  X  SPA  @0 Esclerosis en placa @2 NM @5 03
C07 01  X  FRE  @0 Pathologie de l'encéphale @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @5 37
C07 02  X  FRE  @0 Syndrome extrapyramidal @5 38
C07 02  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 02  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
C07 05  X  FRE  @0 Maladie inflammatoire @5 42
C07 05  X  ENG  @0 Inflammatory disease @5 42
C07 05  X  SPA  @0 Enfermedad inflamatoria @5 42
N21       @1 035
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0071418 INIST
ET : A Unique Case of Coincidence of Early Onset Parkinson's Disease and Multiple Sclerosis
AU : VALKOVIC (Peter); KRASTEV (Georgi); MAKO (Miroslav); LEITNER (Petra); GASSER (Thomas)
AF : Department of Neurology, Trnavian University Hospital/Trnava/Slovaquie (1 aut., 2 aut., 3 aut.); 2nd Department of Neurology, School of Medicine, Comenius University/Bratislava/Slovaquie (1 aut.); Department of Neurodegenerative Diseases, Hertie-Institute for Clinical Brain Research, University of Tübingen/Tübingen/Allemagne (4 aut., 5 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. 2278-2281; Bibl. 15 ref.
LA : Anglais
EA : We report on a patient who developed left arm rest/postural tremor at age 24 and responded well to tri-hexyphenidyl. One year later spastic paraparesis appeared, and multiple sclerosis was diagnosed on the basis of clinical, radiological, and laboratory evidence. Although paraparesis improved after immunosuppressant therapy, a complete picture of an asymmetric parkinsonian syndrome gradually developed. Excellent response to levodopa, drug-induced dyskinesias, and DaTSCAN revealing pathology congruent with Parkinson's disease (PD) indicate a coincidental etiopathogenetic relationship of both clinical entities: multiple sclerosis and PD. Genetic analyses focusing on autosomal recessive parkinsonism (parkin, DJ1, and PINK1) were negative. To the best of our knowledge, only 15 cases of parkinsonism in association with multiple sclerosis have been reported, and their relationship has been interpreted to be either causal or coincidental. This is the first report of a coincidence of both entities, in which the parkinsonian syndrome developed first and before age 30.
CC : 002B17; 002B17F; 002B17G
FD : Pathologie du système nerveux; Maladie de Parkinson; Sclérose en plaques
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Maladie inflammatoire
ED : Nervous system diseases; Parkinson disease; Multiple sclerosis
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Inflammatory disease
SD : Sistema nervioso patología; Parkinson enfermedad; Esclerosis en placa
LO : INIST-20953.354000162671070220
ID : 08-0071418

Links to Exploration step

Pascal:08-0071418

Le document en format XML

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<NO>PASCAL 08-0071418 INIST</NO>
<ET>A Unique Case of Coincidence of Early Onset Parkinson's Disease and Multiple Sclerosis</ET>
<AU>VALKOVIC (Peter); KRASTEV (Georgi); MAKO (Miroslav); LEITNER (Petra); GASSER (Thomas)</AU>
<AF>Department of Neurology, Trnavian University Hospital/Trnava/Slovaquie (1 aut., 2 aut., 3 aut.); 2nd Department of Neurology, School of Medicine, Comenius University/Bratislava/Slovaquie (1 aut.); Department of Neurodegenerative Diseases, Hertie-Institute for Clinical Brain Research, University of Tübingen/Tübingen/Allemagne (4 aut., 5 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. 2278-2281; Bibl. 15 ref.</SO>
<LA>Anglais</LA>
<EA>We report on a patient who developed left arm rest/postural tremor at age 24 and responded well to tri-hexyphenidyl. One year later spastic paraparesis appeared, and multiple sclerosis was diagnosed on the basis of clinical, radiological, and laboratory evidence. Although paraparesis improved after immunosuppressant therapy, a complete picture of an asymmetric parkinsonian syndrome gradually developed. Excellent response to levodopa, drug-induced dyskinesias, and DaTSCAN revealing pathology congruent with Parkinson's disease (PD) indicate a coincidental etiopathogenetic relationship of both clinical entities: multiple sclerosis and PD. Genetic analyses focusing on autosomal recessive parkinsonism (parkin, DJ1, and PINK1) were negative. To the best of our knowledge, only 15 cases of parkinsonism in association with multiple sclerosis have been reported, and their relationship has been interpreted to be either causal or coincidental. This is the first report of a coincidence of both entities, in which the parkinsonian syndrome developed first and before age 30.</EA>
<CC>002B17; 002B17F; 002B17G</CC>
<FD>Pathologie du système nerveux; Maladie de Parkinson; Sclérose en plaques</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Maladie inflammatoire</FG>
<ED>Nervous system diseases; Parkinson disease; Multiple sclerosis</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Inflammatory disease</EG>
<SD>Sistema nervioso patología; Parkinson enfermedad; Esclerosis en placa</SD>
<LO>INIST-20953.354000162671070220</LO>
<ID>08-0071418</ID>
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