Familial paroxysmal kinesigenic choreo-athetosis in a child with visual hallucinations and obsessive-compulsive behaviour.
A teenage male is described, in whom Tourette Syndrome was suspected, which was later replaced by attacks of paroxysmal kinesigenic choreo-athetosis. He also exhibited bizarre, episodic perceptual distortions of his visual environment and manifestations of an obsessive-compulsive disorder. Carbamazepine treatment not only completely eliminated the recurring attacks of his choreo-athetosis but also, contrary to expectations, the visual disturbances and even the symptoms of his obsessive-compulsive disorder. Obsessive compulsive disorder should be searched for by direct questioning in all patients with basal ganglia disorders.
Jan
J E
JE
Department of Paediatrics, Children's Hospital, Vancouver, British Columbia, Canada.
Freeman
R D
RD
Good
W V
WV
D000293:Adolescent; D001264:Athetosis / Q000175:diagnosis* / Q000188:drug therapy / Q000235:genetics; D002220:Carbamazepine / Q000627:therapeutic use; D002819:Chorea / Q000175:diagnosis* / Q000188:drug therapy / Q000235:genetics; D005190:Family; D006212:Hallucinations / Q000150:complications*; D006801:Humans; D008297:Male; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis* / Q000235:genetics; D016896:Treatment Outcome
D002220:Carbamazepine