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Moyamoya-induced paroxysmal dyskinesia

✍ Scribed by Pedro Gonzalez-Alegre; Zakaria Ammache; Patricia H. Davis; Robert L. Rodnitzky


Publisher
John Wiley and Sons
Year
2003
Tongue
English
Weight
315 KB
Volume
18
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

Moyamoya disease (MMD) is an uncommon intracranial vasculopathy that typically presents with ischemic or hemorrhagic stroke. Persistent choreoathetosis has been identified as a rare early manifestation of MMD. We present 2 patients with paroxysmal dyskinesia as the initial symptom of MMD, one resembling paroxysmal kinesigenic dyskinesia (PKD) and the other paroxysmal non‐kinesigenic dyskinesia (PNKD). We also review the cases of moyamoya‐induced chorea reported previously, none of which resembled PKD or PNKD. We hypothesize that both hormonal and ischemic factors may be implicated in the pathogenesis of these abnormal involuntary movements. These cases suggest that MMD should be included in the differential diagnosis of PKD and PNKD. Β© 2003 Movement Disorder Society


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