Presentation
A 42-year-old woman and her 13-year-old daughter both presented with episodic curling of their hand and arm. These events were triggered by sudden movements and would last several seconds. [ncbi.nlm.nih.gov]
Entire Body System
- Vietnamese
METHODS: Sanger sequencing was used to analyze all four PRRT2 exons for sequence variants in 13 probands (9 Caucasian, 1 Caucasian-Thai, 1 Vietnamese and 2 African-American) with some form of paroxysmal dyskinesia. [ncbi.nlm.nih.gov]
Methods: Sanger sequencing was used to analyze all four PRRT2 exons for sequence variants in 13 probands (9 Caucasian, 1 Caucasian-Thai, 1 Vietnamese and 2 African-American) with some form of paroxysmal dyskinesia. [portal.research.lu.se]
Methods Sanger sequencing was used to analyze all four PRRT2 exons for sequence variants in 13 probands (9 Caucasian, 1 Caucasian-Thai, 1 Vietnamese and 2 African-American) with some form of paroxysmal dyskinesia. [bmcneurol.biomedcentral.com]
Psychiatrical
- Denial
Although the carriers all denied any histories relevant to PKD or infantile convulsions, some of them may be in denial or frankly denying past symptoms because of the guilt they feel for having ‘transmitted PKD/IC’ to their children. [journals.plos.org]
Neurologic
- Alteration of Consciousness
The attacks of involuntary movements were all short lasting, and could involve extremities, trunk, neck, or face without alteration of consciousness. [ncbi.nlm.nih.gov]
PxD is a class of heterogeneous motor disorders characterized by abnormal involuntary movement with no alteration to consciousness. It is usually under-diagnosed if not delayed-diagnosed, as the patients are normal between episodes. [ruralneuropractice.com]
- Limb Weakness
The proband suffered choreoathetosis attacks triggered by sudden movements, and lower-limb weakness and stiffness that worsened in cold weather. [ncbi.nlm.nih.gov]
- Lip Smacking
The younger daughter presented at 3 months old with a brief lip smacking, limb twitching, and up-rolling eyeball; the attack lasted about 2 minutes. Both daughters were prescribed phenobarbitone. [hkmj.org]
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]
Treatment
The apparent benign nature of the disorder, as well as treatment options with antiepileptic drugs, was discussed with the parents, and most chose no pharmacologic treatment. [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]
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]
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]
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
CONCLUSIONS: PRRT2 mutations are the major cause of PKD or ICCA, but they do not seem to be involved in the etiology of febrile convulsions and migraine. [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]
In 1995, Dermirkiran and Jankovic [10] associated a wide range of etiologies to PNKD, for example, autoimmune, vascular, traumatic, infective, and endocrine disorder. [ruralneuropractice.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]
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
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]
Discussion The pathophysiological and anatomical bases of paroxysmal kinesigenic dyskinesia remain uncertain. There is discussion about the pathophysiological basis concerning reflex epilepsy versus dysfunction of basal ganglia. [jnnp.bmj.com]
Prevention
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]
Each driver was effective in preventing self-learning when driving PKCi expression, but not without PKCi ( Fig. 3B ). [peerj.com]
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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