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JMD : Journal of Movement Disorders

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Parainfectious Anti-Glial Fibrillary Acidic Protein-Associated Meningoencephalitis
Jae Young Joo, Dallah Yoo, Tae-Beom Ahn
J Mov Disord. 2022;15(1):66-70.   Published online November 25, 2021
DOI: https://doi.org/10.14802/jmd.21115
  • 2,470 View
  • 236 Download
  • 2 Citations
AbstractAbstract PDFSupplementary Material
Movement disorders associated with glial fibrillary acidic protein (GFAP) autoantibodies have rarely been reported as ataxia or tremors. A 32-year-old man with headache and fever, initially diagnosed with viral meningoencephalitis, showed gradual improvement with empirical treatment. Two weeks after the illness, he suddenly developed orofacial, tongue, and neck dyskinesia accompanied by oculomotor abnormalities, which developed into severe generalized choreoballism. Brain magnetic resonance imaging (fluid-attenuated inversion recovery) showed signal hyperintensities in the bilateral globus pallidus interna. The clinical picture suggested an acute inflammatory trigger of secondary autoimmune encephalitis. The autoimmune antibody test was positive for GFAP, with the strongest reactivity in the cerebrospinal fluid (CSF) before treatment and decreased reactivity in serial CSF examinations during immunotherapy. Dyskinesia gradually improved to the extent that it could be controlled with only oral medications. This patient presented with parainfectious GFAP meningoencephalitis with distinctive clinical features and imaging findings.

Citations

Citations to this article as recorded by  
  • Comment on “Parainfectious Anti-Glial Fibrillary Acidic Protein-Associated Meningoencephalitis”
    Byoung June Ahn, Kyum-Yil Kwon
    Journal of Movement Disorders.2022; 15(2): 187.     CrossRef
  • Re: Comment on “Parainfectious Anti-Glial Fibrillary Acidic Protein-Associated Meningoencephalitis”
    Dallah Yoo, Tae-Beom Ahn
    Journal of Movement Disorders.2022; 15(2): 189.     CrossRef
Hemichorea-Hemiballism with a Diabetic Patient
Yoo Hwan Kim, Ju Yeon Kim, Hung Youl Seok, Seong-Beom Koh
J Mov Disord. 2010;3(1):20-21.
DOI: https://doi.org/10.14802/jmd.10006
  • 9,391 View
  • 55 Download
  • 2 Citations
AbstractAbstract PDF

Chorea and ballism are movement disorders that result from a variety of conditions. They are an uncommon manifestation of diabetes mellitus. We report a 52-year-old diabetic man who presented with acute onset chorea-ballism with a putaminal high-signal-intensity lesion on T1-weighted magnetic resonance imaging (MRI).

Citations

Citations to this article as recorded by  
  • “Diabetic striatopathy”: clinical presentations, controversy, pathogenesis, treatments, and outcomes
    Choon-Bing Chua, Cheuk-Kwan Sun, Chih-Wei Hsu, Yi-Cheng Tai, Chih-Yu Liang, I-Ting Tsai
    Scientific Reports.2020;[Epub]     CrossRef
  • NEUROLOGINĖ PATOLOGIJA SERGANT 2 TIPO CUKRINIU DIABETU
    Liudmila Kimševaitė
    Medicinos teorija ir praktika.2017; 22(4): 328.     CrossRef

JMD : Journal of Movement Disorders