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A 32-year old lady who developed a complex generalized movement disorder in all four limbs after plasma exchange for myelitis.
Arora, Anka; Patel, Pratik; Vegda, Monalisa; Agrawal, Naman; Ravi, Krishna Kanth; Tiwari, Sarbesh; Panda, Samhita.
Afiliación
  • Arora A; Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address: ankaarora@gmail.com.
  • Patel P; Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address: patelpratikk304@gmail.com.
  • Vegda M; Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address: monalisavegda@gmail.com.
  • Agrawal N; Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address: Naman.mack91@gmail.com.
  • Ravi KK; Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address: ravikrishnakanth@gmail.com.
  • Tiwari S; Department of Interventional and Diagnostic Radiology, AIIMS, Jodhpur, India. Electronic address: sarbesh1984@gmail.com.
  • Panda S; Department of Neurology, All India Institute of Medical Sciences, Jodhpur, India. Electronic address: samhitapanda@yahoo.com.
Parkinsonism Relat Disord ; 126: 107075, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39067320
ABSTRACT
A 32-year old lady with AQP4-Antibody positive neuromyelitis optica developed a new-onset complex movement disorder after therapeutic plasma exchange, which was initially suspected to be hypocalcemic carpo-pedal spasm. However, when her bilateral, distal predominant, paroxysmal, stereotypic, wrist and finger flexor tonic contractions did not respond to serum calcium correction, other diagnoses were considered. The patient had a dramatic response to oral carbamazepine suggesting that the tonic spasms were likely a spinal movement disorder due to the primary demyelinating pathology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intercambio Plasmático Límite: Adult / Female / Humans Idioma: En Revista: Parkinsonism Relat Disord Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Intercambio Plasmático Límite: Adult / Female / Humans Idioma: En Revista: Parkinsonism Relat Disord Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido