Presentation
Paroxysmal kinesigenic dyskinesia (PKD) is presented as a short paroxysmal attack of focal or generalized involuntary movement. [ncbi.nlm.nih.gov]
Entire Body System
- Epilepsy
PY - 2005 Y1 - 2005 N2 - The association of paroxysmal dyskinesias and epilepsy has been described in literature. [moh-it.pure.elsevier.com]
Keywords Adult — Age of Onset — Chorea/diagnosis/genetics — Dyskinesias/diagnosis/genetics — Epilepsy, Benign Neonatal/diagnosis/genetics — European Continental Ancestry Group/genetics — Humans — Membrane Proteins/genetics — Mutation/genetics — Nerve [archive-ouverte.unige.ch]
Statistics from Altmetric.com The human epilepsies can be broadly divided into two main categories: the symptomatic epilepsies that arise from separate brain lesions or disorders; and the idiopathic epilepsies, which have a strong genetic component. [doi.org]
Copyright © 2018 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved. [ncbi.nlm.nih.gov]
- Asymptomatic
The patient became asymptomatic within 3 months. PKD is characterized by recurrent uni- or bilateral choreoathetosis and usually represents an autosomal dominant inherited disorder caused by PRRT2 gene mutations. [ncbi.nlm.nih.gov]
His father, when young, had similar limb stiffness, while his mother and brother were asymptomatic. Genetic analysis revealed that the proband and his father harbored a PRRT2 c.649dupC mutation, and CLCN1 c.1723C>T and c.2492A>G mutations. [link.springer.com]
The other three siblings of the proband were asymptomatic. Mutational analysis for PRRT2 gene Exons of PRRT2 were amplified using polymerase chain reaction, of which its conditions and primer sequences for PRRT2 are available upon request. [hkmj.org]
Affected individuals are represented by filled/black symbols and asymptomatic family members by empty/white symbols. Symbols of deceased individuals are slashed. Probands are denoted with arrows. [bmcneurol.biomedcentral.com]
- Camping
PI3K enhance cAMP production by activating atypical PKC : PKC-Zeta. [qiagen.com]
[…] aPKC, atypical PKC ; cPKC, classical PKC ; EGFR, epidermal growth factor receptor ; ERK, extracellular-signal-regulated kinase ; GSK3, glycogen synthase kinase 3 ; HER, human EGFR ; MAPK, mitogen-activated protein kinase ; NaPP1, naphthyl-PP1 ; PKA, cAMP-dependent [biochemsoctrans.org]
100 µg 1 mg $200.00 $400.00 0 Bisindolylmaleimide V A negative control for protein kinase C (PKC)-inhibitory activity 113963-68-1 sc-202080 sc-202080A 1 mg 5 mg $49.00 $168.00 1 H-9 hydrochloride A potent and competitive inhibitor of protein kinase C, cAMP-dependent [scbt.com]
- Surgical Procedure
DBS has become the mainstay for surgical treatment of individuals with dystonia. Older surgical procedures such as thalamotomy or pallidotomy are rarely used anymore for the treatment of dystonia. [rarediseases.org]
Adipose Tissue/physiopathology, Adipose Tissue/transplantation, Facial Hemiatrophy/physiopathology, Facial Hemiatrophy/therapy, Models, Biological, Reconstructive Surgical Procedures/methods, Surgery, Computer-Assisted/methods, Body Fluids, Computer Simulation [pesquisa.bvsalud.org]
Respiratoric
- Aspiration
Aspirate media from cultures; wash cells with 1X PBS; aspirate. Lyse cells by adding 1X SDS sample buffer (100 µl per well of 6-well plate or 500 µl for a 10 cm diameter plate). [cellsignal.com]
Each colony was then aspirated and individually stained with a cocktail of antibodies to define lineage: CD235a (glycophorin A)–PE (erythroid), CD14-PE (monocytic), CD15-biotin (granulocytic), and CD41-biotin (megakaryocytic) together with SA-PerCP-CY5.5 [bloodjournal.org]
Skin
- Blister
HE histopathology (eosinophil-rich subepidermal infiltration, inverted teardrop sign), direct immunofluorescence (linear IgG1, but not IgG4, deposits along the dermal-epidermal junction) and ELISA (elevated levels of serum and blister fluid IgG autoantibodies [pesquisa.bvsalud.org]
Psychiatrical
- Suggestibility
This finding suggests that abnormal hyperactivity of thalamic neurons could be responsible for the pathophysiology of paroxysmal kinesigenic dyskinesia in this patient. [ncbi.nlm.nih.gov]
- Psychiatric Symptoms
Our case, however, was most likely idiopathic because all the investigations including psychiatric symptoms, neuroimaging, and EEG were unremarkable, except that she had a remote history of Graves' disease. [ruralneuropractice.com]
Conclusion: This is the first report to describe psychiatric comorbidities or symptoms in a PKD case. [dovepress.com]
Neurologic
- Excitement
BACKGROUND: The objective of this study was to clarify the excitability profiles of the somatosensory cortices in patients with paroxysmal kinesigenic dyskinesia. [ncbi.nlm.nih.gov]
Contact us if you want to know more and tell us about the things we should be adding to keep PKC as the most exciting stop in any kid’s day. All PKC activities take place in specially designated areas. [pennies.co.uk]
Background: PKD is characterized by frequent, recurrent attacks of involuntary movement or posturing in response to sudden movement, stress, or excitement. Recently, an autosomal dominant PKD locus on chromosome 16 was identified. [neurology.org]
- Myoclonus
Interictal myoclonus could be a manifestation of permanent overexcitability. [ncbi.nlm.nih.gov]
Myoclonus Myoclonus refers to muscular contractions (positive myoclonus) that are brief, sudden, and severe, and shock-like movements or inhibitions (negative myoclonus). Myoclonus could be generalized or isolated. [encyclopedia.com]
Myoclonic dystonia, better known as DTY11 or myoclonus-dystonia, is characterized by rapid, involuntary, jerking movements (myoclonus) with or without sustained dystonic postures. Myoclonus most often affects the neck, trunk and upper arms. [rarediseases.org]
In: Fahn S (ed) Myoclonus and Paroxysmal Dyskinesias, Advances in Neurology, vol 89. Lippincott Williams & Wilkins, Philadelphia, pp 387–400 Google Scholar 17. [link.springer.com]
Magnesium sulfate pretreatment reduces myoclonus after etomidate. Anesth Analg. 2005;101(3):705-709. Noronha JL, Matuschak GM. Magnesium in critical illness: metabolism, assessment, and treatment. Intensive Care Med. 2002;28(6):667-679. [ndnr.com]
Workup
Workup for his symptoms including blood counts, electrolytes, calcium, thyroid functions, vasculitic workup, magnetic resonance imaging (MRI) brain, and electroencephalogram (EEG) were all within normal limits. [annalsofian.org]
We describe the case of a young female patient who was admitted for diagnostic workup: epileptic seizures versus psychogenic movement disorders. [e-jmd.org]
Serum
- Monocytosis
[…] described). 12, 16 The role of Ras in regulating cell fate also shows precedent in other developmental model systems. 43 ⇓ – 45 Together, these data support a role for Ras in lineage specification in the hematopoietic compartment and is consistent with the monocytosis [bloodjournal.org]
Treatment
The paroxysmal kinesigenic dyskinesia responded to low-dose treatment with carbamazepine (200 mg/day). [ncbi.nlm.nih.gov]
The timeline of her treatments and progress is listed in Table 2. [ndnr.com]
Prognosis
The correct diagnosis has implications for treatment and prognosis, and the diagnostic scheme may allow better focus in the search for the PKD gene(s). [ncbi.nlm.nih.gov]
Prognosis ICCA has a good outcome. Without treatment, dyskinetic attacks tend to disappear during adulthood. The documents contained in this web site are presented for information purposes only. [orpha.net]
The correct diagnosis has implications for treatment and prognosis, and the diagnostic scheme may allow better focus in the search for the PKD gene(s). Received April 1, 2004. Accepted September 1, 2004. [neurology.org]
Typically, patients receive antiepileptic medications, and improvement of symptoms is usually associated with a good prognosis. If symptoms do not improve with antiepileptic medication(s), the prognosis is not favorable. [encyclopedia.com]
I can't predict your prognosis. Even the doctor's don't know that. I know all this is frustrating. bes of luck. [dailystrength.org]
Etiology
PURPOSE: Paroxysmal kinesigenic dyskinesia (PKD) and epilepsy are thought to have a shared genetic etiology. PRRT2 has been identified as a causative gene of both disorders. [ncbi.nlm.nih.gov]
Eye Movements, Facial Hemiatrophy/pathology, Facial Hemiatrophy/physiopathology, Ocular Motility Disorders/etiology, Oculomotor Muscles/pathology, Oculomotor Muscles/physiopathology, Adult, Diplopia/etiology, Facial Hemiatrophy/complications, Female, [pesquisa.bvsalud.org]
Etiology The genetic loci of ICCA syndrome have been described on chromosomes 16p11.2-q12.1, 16q13-q22.1 and 3q29-29. [orpha.net]
• Paroxysmal dyskinesias may be sporadic, genetic, or caused by metabolic or structural etiologies. • Another common cause of paroxysmal dyskinesias is psychogenic movement disorders. • Paroxysmal kinesigenic dyskinesia typically responds well to antiepileptic [medlink.com]
Epidemiology
Summary Epidemiology This disorder is rare but the exact prevalence is unknown. Clinical description Benign familial infantile epilepsy begins at 3 to 12 months of age with a family history of the same type of seizures. [orpha.net]
D. (2002) Taxonomy and epidemiology of spinal cord injury pain. In: Yezierski, R.P. and Burchiel, K. (eds.) [shiga-med.ac.jp]
Jianfeng Xu Fudan–Van Andel Research Institute (VARI) Center for Genetic Epidemiology, School of Life Science, Fudan University, Shanghai, China. [nature.com]
Common clinical features, epidemiological studies, shared therapeutic strategies, and familial co-inheritance all argue in favour of close relationships between various epileptic syndromes and other paroxysmal disorders of the brain, 35 such as migraine [doi.org]
This article reviews the literature related to the presentation, epidemiology, diagnosis, and treatment of Parry-Romberg syndrome and linear scleroderma en coupe de sabre with focus on the significant correlation with neurologic disease, particularly [pesquisa.bvsalud.org]
Pathophysiology
Little is known of the pathophysiology of PKD, although an ion channel abnormality is thought likely. We assessed a number of electrophysiological parameters in 11 patients with idiopathic PKD, a proportion of them on and off treatment. [ncbi.nlm.nih.gov]
Prevention
Each driver was effective in preventing self-learning when driving PKCi expression, but not without PKCi ( Fig. 3B ). [peerj.com]
CONCLUSIONS: This finding may represent that the operation of SI is extended to the post-movement period, perhaps as a compensatory mechanism for preventing unwanted movement in surrounding muscles. [ncbi.nlm.nih.gov]
Mutagenesis Feature key Position(s) Description Actions Graphical view Length Mutagenesis i 214 I → A: Prevents binding with num-1 (isoform a and isoform c). 1 Mutagenesis i 216 N → A: Prevents binding with num-1 (isoform a and isoform c). 1 Mutagenesis [uniprot.org]
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