Dystonia, Chorea, and Ataxia: Three Challenging Cases

Author:

Pedroso José Luiz1,Vale Thiago Cardoso2,Meira Alex Tiburtino3,Braga-Neto Pedro4,Barsottini Orlando G. P.1,Espay Alberto J.5

Affiliation:

1. Division of General Neurology and Ataxia Unit, Department of Neurology, Universidade Federal de São Paulo, Sao Paulo, Sao Paulo, Brazil

2. Department of Neurology, Universidade Federal de Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil

3. Department of Neurology, Universidade Federal da Paraíba, João Pessoa, Paraíba, Brazil

4. Department of Neurology, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil

5. Gardner Neuroscience Institute, Gardner Center for Parkinson's Disease and Movement Disorders, University of Cincinnati, Cincinnati, Ohio

Abstract

AbstractMovement disorders comprise a heterogeneous and complex group of neurological disorders that increase (hyperkinetic) or decrease (hypokinetic) the speed or amplitude of movements, or disrupt their coordinated sequencing. In this article, we describe three instructive cases, exemplifying classic movement disorders, namely dystonia, chorea, and ataxia. We highlight the diagnostic approach based on clinical clues, syndromic reasoning, evaluation, and management recommendations. Each case ends with key messages for the clinicians.

Publisher

Georg Thieme Verlag KG

Subject

Neurology (clinical),Neurology

Reference21 articles.

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3. Complex dystonias: an update on diagnosis and care;R Herzog;J Neurol Transm,2021

4. Neurodegeneration with brain iron accumulation: insights into the mitochondria dysregulation;Z B Wang;Biomed Pharmacother,2019

5. A diagnostic approach for neurodegeneration with brain iron accumulation: clinical features, genetics and brain imaging;R P Salomão;Arq Neuropsiquiatr,2016

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