Contemporary encephalitis lethargica presenting with agitated catatonia, stereotypy, and dystonia-parkinsonism.
Identifieur interne : 002506 ( PubMed/Curation ); précédent : 002505; suivant : 002507Contemporary encephalitis lethargica presenting with agitated catatonia, stereotypy, and dystonia-parkinsonism.
Auteurs : Russell C. Dale [Australie] ; Richard Webster ; Deepak GillSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.
English descriptors
- KwdEn :
- Adolescent, Catatonia (diagnosis), Catatonia (etiology), Catatonia (therapy), Child, Dopamine (physiology), Dystonia (diagnosis), Dystonia (etiology), Dystonia (therapy), Humans, Intensive Care, Male, Parkinson Disease, Postencephalitic (complications), Parkinson Disease, Postencephalitic (diagnosis), Parkinson Disease, Postencephalitic (therapy), Recovery of Function, Stereotypic Movement Disorder (diagnosis), Stereotypic Movement Disorder (etiology), Stereotypic Movement Disorder (therapy).
- MESH :
- chemical , physiology : Dopamine.
- complications : Parkinson Disease, Postencephalitic.
- diagnosis : Catatonia, Dystonia, Parkinson Disease, Postencephalitic, Stereotypic Movement Disorder.
- etiology : Catatonia, Dystonia, Stereotypic Movement Disorder.
- therapy : Catatonia, Dystonia, Parkinson Disease, Postencephalitic, Stereotypic Movement Disorder.
- Adolescent, Child, Humans, Intensive Care, Male, Recovery of Function.
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.
DOI: 10.1002/mds.21664
PubMed: 17914719
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Dale</name><affiliation wicri:level="1"><nlm:affiliation>Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia. russeld@chw.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Sydney, New South Wales</wicri:regionArea></affiliation></author><author><name sortKey="Webster, Richard" sort="Webster, Richard" uniqKey="Webster R" first="Richard" last="Webster">Richard Webster</name></author><author><name sortKey="Gill, Deepak" sort="Gill, Deepak" uniqKey="Gill D" first="Deepak" last="Gill">Deepak Gill</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2007">2007</date><idno type="doi">10.1002/mds.21664</idno><idno type="RBID">pubmed:17914719</idno><idno type="pmid">17914719</idno><idno type="wicri:Area/PubMed/Corpus">002506</idno><idno type="wicri:Area/PubMed/Curation">002506</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Contemporary encephalitis lethargica presenting with agitated catatonia, stereotypy, and dystonia-parkinsonism.</title><author><name sortKey="Dale, Russell C" sort="Dale, Russell C" uniqKey="Dale R" first="Russell C" last="Dale">Russell C. Dale</name><affiliation wicri:level="1"><nlm:affiliation>Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia. russeld@chw.edu.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Sydney, New South Wales</wicri:regionArea></affiliation></author><author><name sortKey="Webster, Richard" sort="Webster, Richard" uniqKey="Webster R" first="Richard" last="Webster">Richard Webster</name></author><author><name sortKey="Gill, Deepak" sort="Gill, Deepak" uniqKey="Gill D" first="Deepak" last="Gill">Deepak Gill</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Catatonia (diagnosis)</term><term>Catatonia (etiology)</term><term>Catatonia (therapy)</term><term>Child</term><term>Dopamine (physiology)</term><term>Dystonia (diagnosis)</term><term>Dystonia (etiology)</term><term>Dystonia (therapy)</term><term>Humans</term><term>Intensive Care</term><term>Male</term><term>Parkinson Disease, Postencephalitic (complications)</term><term>Parkinson Disease, Postencephalitic (diagnosis)</term><term>Parkinson Disease, Postencephalitic (therapy)</term><term>Recovery of Function</term><term>Stereotypic Movement Disorder (diagnosis)</term><term>Stereotypic Movement Disorder (etiology)</term><term>Stereotypic Movement Disorder (therapy)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="physiology" xml:lang="en"><term>Dopamine</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease, Postencephalitic</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Catatonia</term><term>Dystonia</term><term>Parkinson Disease, Postencephalitic</term><term>Stereotypic Movement Disorder</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Catatonia</term><term>Dystonia</term><term>Stereotypic Movement Disorder</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Catatonia</term><term>Dystonia</term><term>Parkinson Disease, Postencephalitic</term><term>Stereotypic Movement Disorder</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Humans</term><term>Intensive Care</term><term>Male</term><term>Recovery of Function</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">17914719</PMID><DateCreated><Year>2007</Year><Month>12</Month><Day>06</Day></DateCreated><DateCompleted><Year>2008</Year><Month>01</Month><Day>31</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>22</Volume><Issue>15</Issue><PubDate><Year>2007</Year><Month>Nov</Month><Day>15</Day></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Contemporary encephalitis lethargica presenting with agitated catatonia, stereotypy, and dystonia-parkinsonism.</ArticleTitle><Pagination><MedlinePgn>2281-4</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>(c) 2007 Movement Disorder Society.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dale</LastName><ForeName>Russell C</ForeName><Initials>RC</Initials><AffiliationInfo><Affiliation>Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Sydney, New South Wales, Australia. russeld@chw.edu.au</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Webster</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Gill</LastName><ForeName>Deepak</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Mov Disord</MedlineTA><NlmUniqueID>8610688</NlmUniqueID><ISSNLinking>0885-3185</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>VTD58H1Z2X</RegistryNumber><NameOfSubstance UI="D004298">Dopamine</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000293">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002389">Catatonia</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002648">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004298">Dopamine</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000502">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D004421">Dystonia</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017055">Intensive Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D010301">Parkinson Disease, Postencephalitic</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D020127">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019956">Stereotypic Movement Disorder</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2007</Year><Month>10</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>2</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2007</Year><Month>10</Month><Day>5</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="doi">10.1002/mds.21664</ArticleId><ArticleId IdType="pubmed">17914719</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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