MovDisordV3, PascalFrancis, Curation, bibRecord, 000643

Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis

Identifieur interne : 000643 ( PascalFrancis/Curation ); précédent : 000642; suivant : 000644

Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis

Auteurs : Russell C. Dale [Royaume-Uni] ; Andrew J. Church [Royaume-Uni] ; Robert A. H. Surtees [Royaume-Uni] ; Edward J. Thompson [Royaume-Uni] ; Gavin Giovannoni [Royaume-Uni] ; Brian G. R. Neville [Royaume-Uni]

Source :

Movement disorders [ 0885-3185 ] ; 2002.

RBID : Pascal:02-0456879

Descripteurs français

Pascal (Inist)
- Chorée Sydenham, Pharyngite, Streptococcus, Choréoathétose, Dystonie, Immunohistochimie, Anticorps, Noyau gris central, Etude cas, Complication, Diagnostic différentiel, Enfant, Mâle.
Wicri :
- topic : Enfant.

English descriptors

KwdEn :
- Antibody, Basal ganglion, Case study, Child, Choreoathetosis, Complication, Differential diagnostic, Dystonia, Immunohistochemistry, Male, Pharyngitis, Streptococcus, Sydenham chorea.

Abstract

Paroxysmal dystonic choreoathetosis (PDC) is an episodic, non-kinesogenic, extrapyramidal movement disorder. It is postulated that PDC is an ion channel disorder. We describe a sporadic case of paroxysmal dystonic choreoathetosis occurring after streptococcal pharyngitis. The episodes were characterized by abrupt-onset dystonic posturing, choreoathetosis, visual hallucinations and behavioral disturbance. Each episode lasted between 10 minutes and 4 hours, and occurred up to 4 times per day. In between attacks, examination was normal. The episodes waxed and waned in frequency during a 6-month illness. Magnetic resonance imaging of the brain was normal. Post-streptococcal neuropsychiatric disease has a proposed autoimmune etiology, which is supported by the presence of serum antibasai ganglia antibodies. Western immunoblotting of this case's serum demonstrated antibody binding to a basal ganglia antigens of molecular weight 80 kDa and 95 kDa. Immunohistochemistry examination demonstrated specific antibody binding to large striatal neurones. We propose that autoantibodies produced in post-streptococcal neuropsychiatric disease cause alteration in neurotransmission, possibly secondary to ion channel binding.

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A08	`01`	`1`	`ENG`	`@1 Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis`
A11	`01`	`1`		`@1 DALE (Russell C.)`
A11	`02`	`1`		`@1 CHURCH (Andrew J.)`
A11	`03`	`1`		`@1 SURTEES (Robert A. H.)`
A11	`04`	`1`		`@1 THOMPSON (Edward J.)`
A11	`05`	`1`		`@1 GIOVANNONI (Gavin)`
A11	`06`	`1`		`@1 NEVILLE (Brian G. R.)`
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C01	`01`		`ENG`	@0 Paroxysmal dystonic choreoathetosis (PDC) is an episodic, non-kinesogenic, extrapyramidal movement disorder. It is postulated that PDC is an ion channel disorder. We describe a sporadic case of paroxysmal dystonic choreoathetosis occurring after streptococcal pharyngitis. The episodes were characterized by abrupt-onset dystonic posturing, choreoathetosis, visual hallucinations and behavioral disturbance. Each episode lasted between 10 minutes and 4 hours, and occurred up to 4 times per day. In between attacks, examination was normal. The episodes waxed and waned in frequency during a 6-month illness. Magnetic resonance imaging of the brain was normal. Post-streptococcal neuropsychiatric disease has a proposed autoimmune etiology, which is supported by the presence of serum antibasai ganglia antibodies. Western immunoblotting of this case's serum demonstrated antibody binding to a basal ganglia antigens of molecular weight 80 kDa and 95 kDa. Immunohistochemistry examination demonstrated specific antibody binding to large striatal neurones. We propose that autoantibodies produced in post-streptococcal neuropsychiatric disease cause alteration in neurotransmission, possibly secondary to ion channel binding.
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C03	`05`	`X`	`ENG`	`@0 Dystonia @5 08`
C03	`05`	`X`	`SPA`	`@0 Distonía @5 08`
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N21				`@1 266`
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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antibody</term>
<term>Basal ganglion</term>
<term>Case study</term>
<term>Child</term>
<term>Choreoathetosis</term>
<term>Complication</term>
<term>Differential diagnostic</term>
<term>Dystonia</term>
<term>Immunohistochemistry</term>
<term>Male</term>
<term>Pharyngitis</term>
<term>Streptococcus</term>
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<term>Immunohistochimie</term>
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<term>Noyau gris central</term>
<term>Etude cas</term>
<term>Complication</term>
<term>Diagnostic différentiel</term>
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<front><div type="abstract" xml:lang="en">Paroxysmal dystonic choreoathetosis (PDC) is an episodic, non-kinesogenic, extrapyramidal movement disorder. It is postulated that PDC is an ion channel disorder. We describe a sporadic case of paroxysmal dystonic choreoathetosis occurring after streptococcal pharyngitis. The episodes were characterized by abrupt-onset dystonic posturing, choreoathetosis, visual hallucinations and behavioral disturbance. Each episode lasted between 10 minutes and 4 hours, and occurred up to 4 times per day. In between attacks, examination was normal. The episodes waxed and waned in frequency during a 6-month illness. Magnetic resonance imaging of the brain was normal. Post-streptococcal neuropsychiatric disease has a proposed autoimmune etiology, which is supported by the presence of serum antibasai ganglia antibodies. Western immunoblotting of this case's serum demonstrated antibody binding to a basal ganglia antigens of molecular weight 80 kDa and 95 kDa. Immunohistochemistry examination demonstrated specific antibody binding to large striatal neurones. We propose that autoantibodies produced in post-streptococcal neuropsychiatric disease cause alteration in neurotransmission, possibly secondary to ion channel binding.</div>
</front>
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<fA11 i1="03" i2="1"><s1>SURTEES (Robert A. H.)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>THOMPSON (Edward J.)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>GIOVANNONI (Gavin)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>NEVILLE (Brian G. R.)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Neurology, Great Ormond Street Hospital NHS Trust and Institute of Child Health</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Neuroinflammation Unit, Institute of Neurology</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</fA14>
<fA20><s1>817-820</s1>
</fA20>
<fA21><s1>2002</s1>
</fA21>
<fA23 i1="01"><s0>ENG</s0>
</fA23>
<fA43 i1="01"><s1>INIST</s1>
<s2>20953</s2>
<s5>354000108922560340</s5>
</fA43>
<fA44><s0>0000</s0>
<s1>© 2002 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45><s0>10 ref.</s0>
</fA45>
<fA47 i1="01" i2="1"><s0>02-0456879</s0>
</fA47>
<fA60><s1>P</s1>
<s3>CC</s3>
</fA60>
<fA61><s0>A</s0>
</fA61>
<fA64 i1="01" i2="1"><s0>Movement disorders</s0>
</fA64>
<fA66 i1="01"><s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG"><s0>Paroxysmal dystonic choreoathetosis (PDC) is an episodic, non-kinesogenic, extrapyramidal movement disorder. It is postulated that PDC is an ion channel disorder. We describe a sporadic case of paroxysmal dystonic choreoathetosis occurring after streptococcal pharyngitis. The episodes were characterized by abrupt-onset dystonic posturing, choreoathetosis, visual hallucinations and behavioral disturbance. Each episode lasted between 10 minutes and 4 hours, and occurred up to 4 times per day. In between attacks, examination was normal. The episodes waxed and waned in frequency during a 6-month illness. Magnetic resonance imaging of the brain was normal. Post-streptococcal neuropsychiatric disease has a proposed autoimmune etiology, which is supported by the presence of serum antibasai ganglia antibodies. Western immunoblotting of this case's serum demonstrated antibody binding to a basal ganglia antigens of molecular weight 80 kDa and 95 kDa. Immunohistochemistry examination demonstrated specific antibody binding to large striatal neurones. We propose that autoantibodies produced in post-streptococcal neuropsychiatric disease cause alteration in neurotransmission, possibly secondary to ion channel binding.</s0>
</fC01>
<fC02 i1="01" i2="X"><s0>002B05B02N</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE"><s0>Chorée Sydenham</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG"><s0>Sydenham chorea</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA"><s0>Corea Sydenham</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Pharyngite</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Pharyngitis</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Faringitis</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Streptococcus</s0>
<s2>NS</s2>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Streptococcus</s0>
<s2>NS</s2>
<s5>05</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Streptococcus</s0>
<s2>NS</s2>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Choréoathétose</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Choreoathetosis</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Coreoatetosis</s0>
<s5>07</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Dystonie</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Dystonia</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Distonía</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Immunohistochimie</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Immunohistochemistry</s0>
<s5>10</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Inmunohistoquímica</s0>
<s5>10</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Anticorps</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Antibody</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Anticuerpo</s0>
<s5>13</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Noyau gris central</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Basal ganglion</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Núcleo basal</s0>
<s5>14</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Etude cas</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Case study</s0>
<s5>17</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Estudio caso</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Complication</s0>
<s5>18</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Complication</s0>
<s5>18</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Complicación</s0>
<s5>18</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Diagnostic différentiel</s0>
<s5>19</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Differential diagnostic</s0>
<s5>19</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Diagnóstico diferencial</s0>
<s5>19</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Enfant</s0>
<s5>20</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Child</s0>
<s5>20</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Niño</s0>
<s5>20</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Mâle</s0>
<s5>21</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Male</s0>
<s5>21</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Macho</s0>
<s5>21</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Streptococcaceae</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Streptococcaceae</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Streptococcaceae</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Micrococcales</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Micrococcales</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Micrococcales</s0>
<s2>NS</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Bactérie</s0>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Bacteria</s0>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Bacteria</s0>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Homme</s0>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Human</s0>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Hombre</s0>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Système nerveux pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Nervous system diseases</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervioso patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Central nervous system disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Maladie inflammatoire</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Inflammatory disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Enfermedad inflamatoria</s0>
<s5>40</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE"><s0>ORL pathologie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG"><s0>ENT disease</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA"><s0>ORL patología</s0>
<s5>45</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE"><s0>Pharynx pathologie</s0>
<s5>46</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG"><s0>Pharynx disease</s0>
<s5>46</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA"><s0>Faringe patología</s0>
<s5>46</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE"><s0>Bactériose</s0>
<s5>47</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG"><s0>Bacteriosis</s0>
<s5>47</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA"><s0>Bacteriosis</s0>
<s5>47</s5>
</fC07>
<fC07 i1="12" i2="X" l="FRE"><s0>Infection</s0>
</fC07>
<fC07 i1="12" i2="X" l="ENG"><s0>Infection</s0>
</fC07>
<fC07 i1="12" i2="X" l="SPA"><s0>Infección</s0>
</fC07>
<fC07 i1="13" i2="X" l="FRE"><s0>Mouvement involontaire</s0>
<s5>54</s5>
</fC07>
<fC07 i1="13" i2="X" l="ENG"><s0>Involuntary movement</s0>
<s5>54</s5>
</fC07>
<fC07 i1="13" i2="X" l="SPA"><s0>Movimiento involuntario</s0>
<s5>54</s5>
</fC07>
<fC07 i1="14" i2="X" l="FRE"><s0>Trouble neurologique</s0>
<s5>55</s5>
</fC07>
<fC07 i1="14" i2="X" l="ENG"><s0>Neurological disorder</s0>
<s5>55</s5>
</fC07>
<fC07 i1="14" i2="X" l="SPA"><s0>Trastorno neurológico</s0>
<s5>55</s5>
</fC07>
<fC07 i1="15" i2="X" l="FRE"><s0>Encéphale pathologie</s0>
<s5>56</s5>
</fC07>
<fC07 i1="15" i2="X" l="ENG"><s0>Cerebral disorder</s0>
<s5>56</s5>
</fC07>
<fC07 i1="15" i2="X" l="SPA"><s0>Encéfalo patología</s0>
<s5>56</s5>
</fC07>
<fC07 i1="16" i2="X" l="FRE"><s0>Muscle strié pathologie</s0>
<s5>58</s5>
</fC07>
<fC07 i1="16" i2="X" l="ENG"><s0>Striated muscle disease</s0>
<s5>58</s5>
</fC07>
<fC07 i1="16" i2="X" l="SPA"><s0>Músculo estriado patología</s0>
<s5>58</s5>
</fC07>
<fC07 i1="17" i2="X" l="FRE"><s0>Anatomopathologie</s0>
<s5>61</s5>
</fC07>
<fC07 i1="17" i2="X" l="ENG"><s0>Pathology</s0>
<s5>61</s5>
</fC07>
<fC07 i1="17" i2="X" l="SPA"><s0>Anatomía patológica</s0>
<s5>61</s5>
</fC07>
<fN21><s1>266</s1>
</fN21>
<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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   |texte=   Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis
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	Movement Disorders (revue)
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Movement Disorders (revue)

Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis

Post-streptococcal autoimmune neuropsychiatric disease presenting as paroxysmal dystonic choreoathetosis

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