Post-streptococcal ‘complex’ movement disorders: Unusual concurrence of psychogenic and organic symptoms

详细信息    查看全文

• 作者：Giovanna Squintani ; Michele Tinazzi ; Mattia Gambarin ; Elena Bravi ; Giuseppe Moretto ; Maura Buttiglione ; Giovanni Defazio ; Davide Martino
• 关键词：PANDAS ; Tics ; Psychogenic movement disorders ; Relapsing– ; remitting course ; Anti-basal ganglia antibodies ; Steroid therapy
• 刊名：Journal of the Neurological Sciences
• 出版年：2010
• 出版时间：15 January 2010
• 年：2010
• 卷：288
• 期：1-2
• 页码：68-71
• 全文大小：338 K

文摘

Post-streptococcal neuropsychiatric disorders encompass a broad spectrum of movement disorders, including tics, stereotypies, dystonia and tremor. We report the case of a 15-year-old boy who presented with a relapsing–remitting combination of psychogenic and organic movement disorders. Both relapses occurred after an episode of streptococcal pharyngitis and consisted in motor and phonic tics, an atypical gait disorder, and severe worsening of a pre-existing psychogenic tremor of the right hand. After each relapse, both psychogenic and ‘organic’ symptoms concomitantly remitted after the administration of an association of oral steroids and antibiotics. The peculiarity of this case consists in the coexistence of psychogenic and organic symptoms subsequent to streptococcal infection, and broadens the clinical spectrum of post-streptococcal neuropsychiatric disorders.