Dopa-responsive dystonia or Segawa disease in Ghana: a case report

Author:

Badoe Ebenezer V

Abstract

Dystonias are rare in childhood and consist of variably sustained twisting deformation of a limb or parts of a trunk. Dystonias can be considered primary because of a genetic disorder or secondary due to a central nervous system injury like cerebral palsy or medications. The rare dopa-responsive dystonia is often mistaken for cerebral palsy, stroke, localized limb trauma or conversion disorder. The aim of this report is to increase the awareness of a rare but eminently treatable type of dystonia known as dopa–responsive dystonia or Segawa disease. In this report a young girl with dystonia who was severely disabled and could not attend school was misdiagnosed as cerebral palsy for two years. After treatment with low dose L-dopa within 48 hours, a dramatic and sustained response with restoration of foot dystonia and mobility was observed. Recognition of L-dopa dystonia facilitates proper treatment and significant improvement in quality of life

Publisher

University of Ghana

Subject

General Medicine

Reference8 articles.

1. 1.Firth HV, Hurst JA Hall JG, Eds Oxford Desk Reference Clinical Genetics, Oxford: Oxford University Press (2005) p 107.2. Nardocci N, Zorzi G, Blau N, Fernandez Alvarez E, Sesta M, Angelini L, Pannacci M, Invernizzi F, Garavaglia B (2003) Neonatal dopa-responsive extrapyramidal syndrome in twins with recessive GTPCH deficiency. Neurology 60:335–337. https://doi.org/10.1212/01.WNL.0000044049.99690.AD3. Adei-Atiemo E, Rodrigues O, Badoe E (2015) Classification and Risk Factors for Cerebral Palsy in the Korle Bu Teaching Hospital, Accra: A Case-Control Study. Pediatrics 135:S7–S7. https://doi.org/10.1542/peds.2014-3330k4. Lee WW, Jeon BS (2014) Clinical spectrum of dopa-responsive dystonia and related disorders. Curr Neurol Neurosci Rep 14:4615. Nygaard TG, Marsden CD, Fahn S (1991) Dopa-responsive dystonia: Long-term treatment response and prognosis. Neurology 41:174–181. https://doi.org/10.1212/wnl.41.2_part_1.1746. Furuya H, Murai H, Takasugi K, Ohyagi Y, Urano F, Kishi T, Ichinose H, Kira J (2006) A case of late-onset Segawa syndrome (autosomal dominant dopa-responsive dystonia) with a novel mutation of the GTP-cyclohydrase I (GCH1) gene. Clin Neurol Neurosurg 108:784–786. https://doi.org/10.1016/j.clineuro.2005.10.0047. Bale JF, Bonkowsky JL, Filloux F, Hedlund GL, Nielsen DM, Larsen PD (2012) Pediatric Neurology: A Color Handbook. Manson Publishing, London8. Aicardi J. (Ed). Diseases of the Nervous system in children. Mac Keith Press (2009) p350204

2. 1.Firth HV, Hurst JA Hall JG, Eds Oxford Desk Reference Clinical Genetics, Oxford: Oxford University Press (2005) p 107.

3. 2. Nardocci N, Zorzi G, Blau N, Fernandez Alvarez E, Sesta M, Angelini L, Pannacci M, Invernizzi F, Garavaglia B (2003) Neonatal dopa-responsive extrapyramidal syndrome in twins with recessive GTPCH deficiency. Neurology 60:335–337. https://doi.org/10.1212/01.WNL.0000044049.99690.AD

4. 3. Adei-Atiemo E, Rodrigues O, Badoe E (2015) Classification and Risk Factors for Cerebral Palsy in the Korle Bu Teaching Hospital, Accra: A Case-Control Study. Pediatrics 135:S7–S7. https://doi.org/10.1542/peds.2014-3330k

5. 4. Lee WW, Jeon BS (2014) Clinical spectrum of dopa-responsive dystonia and related disorders. Curr Neurol Neurosci Rep 14:461

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