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Paroxysmal Dystonia FREE

DAVID W. DUNN, MD
Am J Dis Child. 1981;135(4):381-382. doi:10.1001/archpedi.1981.02130280071027.
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Recurring episodes of dystonia are an unusual problem in pediatric practice. Paroxysmal dystonia may be seen as a familial syndrome or as part of an acquired disorder. I report the following case because of the unusual nature of the disorder and certain features in this particular case.

Report of a Case.—This child was a full-term, 3,620-g, healthy infant who had had no major illness until 26 months of age. Following a four-day febrile upper respiratory tract illness, he was found to be lethargic, weak, and unable to walk. He could not eat solid food and had difficulty swallowing liquids.

On initial examination, he was an irritable, lethargic child with fixed staring, minimal blinking, and constant drooling. He had a dystonic posture with flexion of the right arm and head turning to the right. The CSF was normal (protein level, 8 mg/dL; glucose level, 61 mg/dL; and lymphocyte count,

REFERENCES

Mount LA, Reback S:  Familial paroxysmal choreoathetosis . Arch Neurol Psychiatry 1940;;44:841-847.
Forssman H:  Hereditary disorder characterized by attacks of muscular contractions, induced by alcohol amongst other factors . Acta Med Scand 1961;:170:517-533.
Richards RN, Barnett HJM:  Paroxysmal dystonic choreoathetosis . Neurology 1968;;18:461-469.
Lance JW:  Familial paroxysmal dystonic choreoathetosis and its differentiation from related syndromes . Ann Neurol 1977;;2:285-293.
Tibbles JAR, Barnes SE:  Paroxysmal dystonic choreoathetosis of Mount and Reback . Pediatrics 1980;;65:149-151.
Mayeaux R, Fahn S:  Paroxysmal dystonic choreoathetosis in two brothers with cerebellar ataxia, successfully treated with acetazolamide . Neurology 1980;;30:380.
Matthews WB:  Tonic seizures in disseminated sclerosis . Brain 1958;:81:193-206.
Joynt RJ, Green D:  Tonic seizures as a manifestation of multiple sclerosis . Arch Neurol 1962;;6:293-299.
Rosen JA:  Paroxysmal choreoathetosis associated with perinatal hypoxic encephalopathy . Arch Neurol 1964;;11:385-387.
Fischbeck KH, Layzer RB:  Paroxysmal choreoathetosis associated with thyrotoxicosis . Ann Neurol 1979;;6:453-454.
Simpson JA:  Neurological manifestation of idiopathic hypoparathyroidism . Brain 1952;;75:76-90.
Soffer D, Licht A, Yaar I, et al:  Paroxysmal choreoathetosis as presenting symptom in idiopathic hypoparathyroidism . J Neurol Neurosurg Psychiatry 1977;;40:692-694.
Blass JP, Kark RAP, Engel WK:  Clinical studies of a patient with pyruvate decarboxylase deficiency . Arch Neurol 1971;;25:449-460.
Swaiman KF, Wright FS:  Neurologic disease due to developmental and metabolic defects ; in Baker AB (ed): Clinical Neurology . Hagerstown, Md, Harper & Row Publishers Inc, 1977;, vol 3, pp 125-127.
Kinast M, Erenberg G, Rothner AD:  Paroxysmal choreoathetosis: Report of five cases and review of the literature . Pediatrics 1980;;65:74-77.

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References

Mount LA, Reback S:  Familial paroxysmal choreoathetosis . Arch Neurol Psychiatry 1940;;44:841-847.
Forssman H:  Hereditary disorder characterized by attacks of muscular contractions, induced by alcohol amongst other factors . Acta Med Scand 1961;:170:517-533.
Richards RN, Barnett HJM:  Paroxysmal dystonic choreoathetosis . Neurology 1968;;18:461-469.
Lance JW:  Familial paroxysmal dystonic choreoathetosis and its differentiation from related syndromes . Ann Neurol 1977;;2:285-293.
Tibbles JAR, Barnes SE:  Paroxysmal dystonic choreoathetosis of Mount and Reback . Pediatrics 1980;;65:149-151.
Mayeaux R, Fahn S:  Paroxysmal dystonic choreoathetosis in two brothers with cerebellar ataxia, successfully treated with acetazolamide . Neurology 1980;;30:380.
Matthews WB:  Tonic seizures in disseminated sclerosis . Brain 1958;:81:193-206.
Joynt RJ, Green D:  Tonic seizures as a manifestation of multiple sclerosis . Arch Neurol 1962;;6:293-299.
Rosen JA:  Paroxysmal choreoathetosis associated with perinatal hypoxic encephalopathy . Arch Neurol 1964;;11:385-387.
Fischbeck KH, Layzer RB:  Paroxysmal choreoathetosis associated with thyrotoxicosis . Ann Neurol 1979;;6:453-454.
Simpson JA:  Neurological manifestation of idiopathic hypoparathyroidism . Brain 1952;;75:76-90.
Soffer D, Licht A, Yaar I, et al:  Paroxysmal choreoathetosis as presenting symptom in idiopathic hypoparathyroidism . J Neurol Neurosurg Psychiatry 1977;;40:692-694.
Blass JP, Kark RAP, Engel WK:  Clinical studies of a patient with pyruvate decarboxylase deficiency . Arch Neurol 1971;;25:449-460.
Swaiman KF, Wright FS:  Neurologic disease due to developmental and metabolic defects ; in Baker AB (ed): Clinical Neurology . Hagerstown, Md, Harper & Row Publishers Inc, 1977;, vol 3, pp 125-127.
Kinast M, Erenberg G, Rothner AD:  Paroxysmal choreoathetosis: Report of five cases and review of the literature . Pediatrics 1980;;65:74-77.

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