Presentation
Most of these cases are familial with an autosomal recessive mode of inheritance and presented in young adulthood. [casereports.in]
Pallidopyramidal syndrome and hereditary spastic paraplegia (HSP) can present common features and diagnostic approach has to be careful. genetic assessment is the gold diagnosis… CONTINUE READING [semanticscholar.org]
Pallidopyramidal syndrome and hereditary spastic paraplegia (HSP) can present common features and diagnostic approach has to be careful. genetic assessment is the gold diagnosis method in some cases. [doaj.org]
Case presentation We present an atypical presentation of palmar herpetic whitlow with delayed recognition and associated viral lymphangitis. [bmcpediatr.biomedcentral.com]
Gastrointestinal
- Muscle Rigidity
Muscle rigidity 0002063 Shuffling gait Shuffled walk 0002362 Sleep disturbance Difficulty sleeping Trouble sleeping [ more ] 0002360 Slow saccadic eye movements Slow eye movements 0000514 Spasticity Involuntary muscle stiffness, contraction, or spasm [rarediseases.info.nih.gov]
(Otfrid) Forster (1873–1941) has shown that the change in muscle tone resembles but also differs from spasticity. Rigidity is central in origin; spasticity is a response to peripheral or reflex stimulation. [academic.oup.com]
Cardiovascular
- Hypertension
Hypertension, cardiopathy, smoking habit, dyslipemia and diabetes are the most frequent risk factors in both forms. © 1990 S. [karger.com]
However, both conditions are caused by changed renal tubular Na+ absorption (hypertension: increased. [cbs.dtu.dk]
Hypertension, cardiopathy, smoking habit, dyslipemia and diabetes are the most frequent risk factors in both forms. [scienceopen.com]
"The hypertensive lower esophageal sphincter: a motility disorder with manometric features of outflow obstruction". J Gastrointest Surg. 7 (5): 692–700. PMID 12850684. ↑ Chatterjee S, Hedman BJ, Kirby DF (2017). "An Unusual Cause of Dysphagia". [wikidoc.org]
Musculoskeletal
- Scissoring Gait
gait Scissor walk Scissors gait [ more ] 0012407 Slow progression Signs and symptoms worsen slowly with time 0003677 Tremor 0001337 Young adult onset 0011462 Showing of 32 | Last updated: 3/1/2020 If you need medical advice, you can look for doctors [rarediseases.info.nih.gov]
Clinical features included tremor, rigidity, akinesia, scissor gait, and hyperreflexia. The disorder was progressive until the institution of levodopa treatment at the ages of 18 and 20 years, respectively. [dsimb.inserm.fr]
- Torticollis
Difficulty running Sensorineural hearing impairment Visual impairment Optic atrophy Blindness Abnormality of the nervous system Abnormality of the eye Lethargy Anarthria Progressive visual loss Hemiparesis Neck muscle weakness Difficulty climbing stairs Torticollis [mendelian.co]
It was first described in 2006 in a 45-year-old male with a 28-year history of spasmodic torticollis, spinocerebellar ataxia, and motor neuropathy.[52] MRI brain showed no iron deposition of basal ganglia, but a leukoencephalopathy and hyperintense thalamus [annalsofian.org]
Macrocephaly-short stature-paraplegia syndrome Macrothrombocytopenia progressive deafness Mal de debarquement syndrome Male pseudohermaphroditism intellectual disability syndrome, Verloes type Malignant hyperthermia Malignant hyperthermia arthrogryposis torticollis [braintherapeutics.gr]
Psychiatrical
- Psychiatric Manifestation
[…] gait; Facial-faucial-finger mini-myoclonus (FFF); Spasticity; Mild paraparesis; Hyperreflexia; Extensor plantar responses; Pyramidal signs; Dementia; Generalized cerebral, cerebellar, and brainstem atrophy, progressive; Atrophy of pyramids; [Behavioral/psychiatric [genome.jp]
Roy Ujjawal, Panwar Ajay, Hussain Zakir, Biswas Debsadhan Journal of Neurosciences in Rural Practice, Year 2016, Volume 7, Issue 2 41 Wilson's disease: A case report with primary psychiatric presentation, a reason to investigate Gupta Sriniwas, Dutta [jpgmonline.com]
Roy Ujjawal, Panwar Ajay, Hussain Zakir, Biswas Debsadhan Journal of Neurosciences in Rural Practice, Year 2016, Volume 7, Issue 2 45 Wilson's disease: A case report with primary psychiatric presentation, a reason to investigate Gupta Sriniwas, Dutta [indianjpsychiatry.org]
Atanu, Pal Ashutosh Annals of Indian Academy of Neurology, Year 2016, Volume 19, Issue 2 18 A case of status epilepticus: A giant panda dropped the hint Chakrabarti Subrata, Pan Koushik West African Journal of Radiology, Year 2015, Volume 22, Issue 1 19 Psychiatric [pediatricneurosciences.com]
In nearly 10%, Wilson’s disease manifests with psychiatric symptoms (24,26). An exclusive psychiatric presentation of Wilson’s disease is also reported in literature (21,22). [atm.amegroups.com]
Face, Head & Neck
- Hypomimia
At the time of the report, only the 3 most severely affected individuals showed detectable extrapyramidal symptoms, including rigidity, bradykinesia, hypomimia, and monotone speech. [syndromefinder.ncchd.go.jp]
Pill-rolling tremor, hypomimia, hypophonia, stooping posture, striatal toes and equinovarous deformity may be noted. The pyramidal features include paraparesis, scissoring of gait, Bakinski sign, hyperreflexia, and pseudobulbar effect. [neurologyindia.com]
Parkinsonian-pyramidal disease consists of the combination of parkinsonism and pyramidal features, but cerebellar symptoms have been also described in rare cases.13 In addition to the typical parkinsonian features such as rest tremor, rigidity, bradykinesia, hypomimia [jamanetwork.com]
Types Features Type 1 rigidity, hypomimia, marche apetits pas Type 2 pseudobulbar syndrome and variable pyramidal signs Type 3 dementia and incontinence Type 4 pallidopyramidal syndrome Type 5 pallidocerebellar syndrome Table 1: Clinical subtypes of “ [omicsonline.org]
Neurologic
- Tremor
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
There were perioral tremors, resting pill rolling tremors in hands (grade 3 UPDRS scale) with dystonic posturing, facial–faucial–finger minimyo clonus, oculo-gyric dystonic spasm and striatal toes [Video 2]. [casereports.in]
In the mother, resting tremor was associated with bradykinesia and parkinsonian gait, while in the brother the tremor was isolated and of the postural type. [docslide.com.br]
- Resting Tremor
[…] diseases Search Search for a rare disease Parkinsonian-pyramidal syndrome Disease definition Parkinsonian-pyramidal syndrome is a rare, genetic, neurological disorder characterized by the association of both parkinsonian (i.e. bradykinesia, rigidity and/or rest [orpha.net]
Orpha Number: 171695 Definition Parkinsonian-pyramidal syndrome is a rare, genetic, neurological disorder characterized by the association of both parkinsonian (i.e. bradykinesia, rigidity and/or rest tremor) and pyramidal (i.e. increased reflexes, extensor [malacards.org]
His problems gradually worsened and he developed rest tremors of right hand which also involved the left hand over the next few months. Hand tremors were prominent at rest and during voluntary activity and diminished during sleep. [casereports.in]
- Postural Instability
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
He could sit with support with a flexed posture and had significant postural instability. [casereports.in]
- Hyperreflexia
Symptoms * Pyramidal signs * Parkinson disease * Tremor * Rigidity * Hyperreflexia * Spastic muscle tone * Gait disturbance * Bradykinesia * Dysarthria * Dysphagia Diagnosis signs and symptoms of Pallidopyramidal syndrome may vary on an individual basis [checkorphan.org]
All exhibited Babinski signs, hyperreflexia, and spasticity restricted mainly to lower limbs. [syndromefinder.ncchd.go.jp]
In the first family, of Libyan Jewish descent, a brother and sister both developed spasticity and hyperreflexia of the lower limbs at age 12 years. [dsimb.inserm.fr]
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
- Pyramidal Tract Signs
Methods: We performed clinical and genetic studies in two families with early-onset, progressive parkinsonism and pyramidal tract signs. [n.neurology.org]
METHODS:: We performed clinical and genetic studies in two families with early-onset, progressive parkinsonism and pyramidal tract signs. [moh-it.pure.elsevier.com]
The combination of recessive early-onset parkinsonism and pyramidal tract signs caused by pallidopyramidal degeneration is known as pallidopyramidal disease or syndrome (PPD/S). [keyopinionleaders.com]
Workup
[…] cognitive impairment and cerebellar signs are often seen. [15] Clinical findings are important as clinicians and radiologists may view BSPDC as an incidental finding, but incidental discovery of BSPDC before the age of 50 years merits further diagnostic workup [annalsafrmed.org]
The MRI workup of NBIA is incomplete without T2*-weighted acquisitions and/or SWI imaging. They enhance this degree of hypointensity (described as “blooming”). [annalsofian.org]
Serum
- Cytopenia
Project Care East Anglia/Cambridge Outreach Referral Specialist Clinic Leicester Outreach Referral Specialist Clinic Norwich Outreach Referral Specialist Clinic Nottingham Outreach Referral Specialist Clinic Patient Groups Contact us Cystic fibrosis Cytopenia [eastgenomics.org.uk]
Treatment
There are two main types of clinical studies: Clinical trials determine if a new test or treatment for a disease is effective and safe by comparing groups receiving different tests/treatments. [rarediseases.info.nih.gov]
Both deteriorated to the point of a non-productive existence until the institution of levodopa treatment, at the ages of 18 and 20 years. [ncbi.nlm.nih.gov]
Full text links Group 7SearchHeart failure treatmentPapersTopicsCollectionsEffects of Sodium-Glucose Cotransporter 2 Inhibitors for the Treatment of Patients With Heart Failure Importance: Only 1 class of glucose-lowering agents-sodium-glucose cotransporter [read.qxmd.com]
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Prognosis
Electrophysiological trying out can aid prognosis yet provided that the fitting exams are ordered. they have to be accurately interpreted along side the particular signs. [karmen-shop.com.ua]
Treatment and prognosis The parkinsonism in Kufor-Rakeb disease tends to be levodopa-responsive, other manifestations of the disease are managed symptomatically 2. [radiopaedia.org]
Suchowersky O, Reich S, Perlmutter J, Zesiewicz T, Gronseth G, Weiner WJ: Practice Parameter: diagnosis and prognosis of new onset Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology [karger.com]
Facial dystonia: clinical features, prognosis and pharmacology in 31 patients. Ital J Neurol Sci 1989;10:553-560. 26. Fahn S. High dosage anticholinergic therapy in dystonia. Neurology 1983;33:1255-1261. 27. Burke RE, Fahn S, Marsden CD. [flandershealth.us]
Etiology
DRD-plus also has the same etiologic background with DRD, but DRD-plus patients have more severe features that are not seen in DRD because of the severity of the genetic defect. [snucm.elsevierpure.com]
Singleton and Niall Quinn}, journal={Movement disorders : official journal of the Movement Disorder Society}, year={2009}, volume={24 1}, pages={ 138-40 } } Insights into the etiology of Parkinson’s disease (PD) disorders have resulted from the identification [semanticscholar.org]
Still the only major text on the subject, the completely revised and updated second edition of Parkinson's Disease: Diagnosis and Clinical Management comes at a time when specialists have made important advances in our understanding of the etiology, pathogenesis [books.google.de]
Etiology and histopathology Considering the etiology, bilateral striopallidodentate calcinosis can be subdivided into four forms, with first to third belonging to Fahr’s disease, that means lacking of secondary causes [1]: 1. Autosomal dominant; 2. [bmcneurol.biomedcentral.com]
Parathyroid hormone abnormality appears to be the most common definable etiology for calcification of bilateral subcortical nuclei and white matter, but the mechanism of selective deposition of calcium and other trace element in the presence of normal [annalsafrmed.org]
Epidemiology
[…] data: Class of prevalence: unknown Average age onset: neonatal/infancy Average age of death: - Type of inheritance: autosomal dominant Epidemiological data: Class of prevalence: - Average age onset: adolescence / young Average age of death: - Type of [csbg.cnb.csic.es]
Juvenile parkinsonism: epidemiology, diagnosis and treatment. CNS Drugs 2010;24:467-77. Di Fonzo A, Chien HF, Socal M, et al. ATP13A2 missense mutations in juvenile parkinsonism and young onset Parkinson disease. Neurology 2007;68:1557-62. [rarediseases.org]
Epidemiology Movement disorders are common neurologic problems, and epidemiological studies are available for some of them ( Table 1.3 ). [neupsykey.com]
"Epidemiology and practice patterns of achalasia in a large multi-centre database". Aliment Pharmacol Ther. 33 (11): 1209–14. doi:10.1111/j.1365-2036.2011.04655.x. PMC 3857989. [wikidoc.org]
Huber (Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research), Gavin Hudson (Neurology M4104, The Medical School, Newcastle upon Tyne, UK), Sarah E Hunt (Wellcome Trust Sanger Institute), Thomas Illig (Institute of Epidemiology [journals.plos.org]
Pathophysiology
Therapeutic strategies, following a correct diagnosis has to be addressed to improvement the patient's quality of life by rehabilitation methods and medication targeting the pathophysiological processes involvement. [doaj.org]
Neurodegeneration with Brain Iron Accumulation: Genetic Diversity and Pathophysiological Mechanisms. Annu Rev Genomics Hum Genet 2015;16:257-79. Park JS, Blair NF, Sue CM. [rarediseases.org]
[Journal Article] M Medicine (Baltimore) 2019; 98(17):e15390 CONCLUSIONS: We presume that the pathophysiology of FS was related to primary hypoparathyroidism and hypomagnesemia. [unboundmedicine.com]
Although the complex molecular pathophysiology of neurodegeneration is largely unknown, major advances have been achieved by elucidating the genetic defects underlying mendelian forms of these diseases 2. [nature.com]
Potential Pathophysiological Crosstalk between Parkin and FBXO7 signalling pathways. Electronic J Biol, 12:4. [ejbio.imedpub.com]
Prevention
Immediate drainage is imperative to relieve increased tension and prevent development of osteomyelitis of the distal phalanx. [accesssurgery.mhmedical.com]
We find also that binding of Fbxo7 to Skp1 prevents its interaction with Crm1, a component of the nuclear export machinery suggesting that association with the other SCF components directly promotes the nuclear accumulation of the protein. [cancerres.aacrjournals.org]
Cardiovascular Risk Factor Management in the Prevention of Stroke: Satellite Symposium Held on the Occasion of the 11th European Stroke Conference, ... 2002: Proceedings (CEREBROVASCULAR DISEASES) Mechanism and Management of Headache, 7e Tourette Syndrome [karmen-shop.com.ua]
Rectangular shaped bag Integrated full pad sleeve Compartmentalized, horizontal baffled construction prevents down shifting Double zippers allow entry from either side of bag and when unzipped allows top of bag to be used like a comforter Two 62" / 157cm [bigagnes.com]
These septa result in a closed compartment at the distal phalanx, which helps prevent the proximal spread of infection. [emedicine.medscape.com]