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NEUROLOGY 2009;72:e118
© 2009 American Academy of Neurology
Resident and Fellow Section

Teaching Video NeuroImages: Paroxysmal kinesigenic dyskinesia

Formula

Alexandra Borchert, MD, Gabriel Möddel, MD and Matthias Schilling, MD

From the Department of Neurology, Universitätsklinikum Münster, Germany.

Address correspondence and reprint requests to Dr. Matthias Schilling, Dept. of Neurology, Universitätsklinikum Münster, Albert-Schweitzer-Str. 33, D-48129 Münster, Germany schillim{at}uni-muenster.de

A man presented multifocal brachiofacial or generalized dystonic movements and dyskinesias (video on the Neurology® Web site at www.neurology.org). Episodes started with a variable aura, triggered by emotional stress or movement initiation. Clinical examination and diagnostics including brain MRI and EEG were normal. Attacks stopped after therapy with carbamazepine, 200 mg daily, was started.

Paroxysmal dyskinesia is a rare, mostly autosomal dominant disorder characterized by kinesigenic triggers, attacks <1 minute, preserved consciousness, absence of structural diseases or epileptiform activity, and effect of phenytoin or carbamazepine.1,2 Although the term kinesigenic dyskinesia is used, other triggers are possible. The movements often include dystonic postures, with or without dyskinesias.

Supplemental data at www.neurology.org

Disclosure: The authors report no disclosures.


   REFERENCES
Top.
 REFERENCES
 

  1. Houser MK, Soland VL, Bhatia KP, et al. Paroxysmal kinesigenic choreoathetosis: a report of 26 patients. J Neurol 1996;246:120–126.
  2. Bruno MK, Hallett M, Gwinn-Hardy K, et al. Clinical evaluation of idiopathic paroxysmal kinesigenic dyskinesia: new diagnostic criteria. Neurology 2004;63:2280–2287.[Abstract/Free Full Text]




This Article
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Right arrow Similar articles in PubMed
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Google Scholar
Right arrow Articles by Borchert, A.
Right arrow Articles by Schilling, M.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Borchert, A.
Right arrow Articles by Schilling, M.
Related Collections
Right arrow All Clinical Neurology
Right arrow All Movement Disorders
Right arrow Dystonia
Right arrow Nonepileptic seizures

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