Paroxysmal exertion-induced dystonia secondary to Erdheim-Chester disease

2 Case report A 48-year-old man was seen in our neurology department for recurrent involuntary movements over the left side of the body characterized by hemifacial spasm, tonic cocontraction of the forearm flexors and extensors resulting in wrist flexion, and tonic cocontraction of leg muscles resul...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2013-07, Vol.115 (7), p.1105-1106
Main Authors: Baldacci, F, Lucetti, C, Vergallo, A, Borelli, P, Tessa, C, Viacava, P, Bonuccelli, U
Format: Article
Language:English
Subjects:
Diabetes
Disclosure
Dyskinesias - etiology
Dyskinesias - physiopathology
Dystonia - drug therapy
Dystonia - etiology
Dystonia - physiopathology
Electroencephalography
Erdheim-Chester disease
Erdheim-Chester Disease - complications
Erdheim-Chester Disease - drug therapy
Erdheim-Chester Disease - physiopathology
Fatigue
Femur - pathology
Humans
Interferon-alpha - therapeutic use
Magnetic Resonance Imaging
Male
Medical research
Middle Aged
Neurologic Examination
Neurology
Neurosurgery
NMR
Nuclear magnetic resonance
Paroxysmal dyskinesias
Physical Exertion
Tibia - pathology
Tomography, X-Ray Computed
Treatment Failure
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Summary:2 Case report A 48-year-old man was seen in our neurology department for recurrent involuntary movements over the left side of the body characterized by hemifacial spasm, tonic cocontraction of the forearm flexors and extensors resulting in wrist flexion, and tonic cocontraction of leg muscles resulting in leg extension and ankle intra-rotation. 4 Conclusions Our case shows that clinical picture of ECD largely depends upon the organs involvement and in case of central nervous system involvement, neurological symptoms may be very heterogeneous, including movement disorders such as paroxysmal dystonia.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2012.08.029