Fatal encephalitis in a patient with refractory celiac disease presenting with myorhythmia and carpal spasm

Fatal encephalitis in a patient with refractory celiac disease presenting with myorhythmia and carpal spasm

We report the case of a woman with refractory celiac disease who developed abnormal spontaneous movements of the extremities and face consistent with myorhythmia. Investigation led to a diagnosis of encephalitis, confirmed by postmortem examination. The movements were likely caused by nonparaneoplas...

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Veröffentlicht in:Movement disorders 2007-02, Vol.22 (3), p.407-411
Hauptverfasser: Dimberg, Elliot L., Crowe, Sheila E., Trugman, Joel M., Swerdlow, Russell H., Lopes, M. Beatriz, Bourne, T. David, Burns, Ted M.
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Biological and medical sciences
Carpal Joints - pathology
Carpal Joints - physiopathology
carpal spasm
celiac disease
Celiac Disease - complications
Celiac Disease - pathology
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
encephalitis
Encephalitis - complications
Encephalitis - pathology
Female
Humans
Medical sciences
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Muscular Diseases - etiology
Muscular Diseases - pathology
myorhythmia
Neurology
peripheral nerve hyperexcitability
voltage-gated potassium channel antibodies
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Zusammenfassung:We report the case of a woman with refractory celiac disease who developed abnormal spontaneous movements of the extremities and face consistent with myorhythmia. Investigation led to a diagnosis of encephalitis, confirmed by postmortem examination. The movements were likely caused by nonparaneoplastic encephalitis associated with refractory celiac disease. Etiologic and diagnostic considerations and treatment options are discussed. © 2006 Movement Disorder Society
ISSN:0885-3185
1531-8257
DOI:10.1002/mds.21324