[A case of symptomatic paroxysmal kinesigenic dsykinesia with primary central nervous system lymphoma].
Paroxysmal dyskinesias are rare movement disorders. In one fourth of cases, a symptomatic cause can be found, e.g., brain ischemia or inflammatory diseases. We report a unique case of secondary paroxysmal kinesigenic dyskinesia (PKD). The 37-year-old patient suffered from a primary CNS lymphoma invading the right thalamus. Consecutively, he showed dystonic-athetoid movements in the left half of the body. The involuntary movements had a duration of approximately 20 s and occurred more than 100 times per day. Carbamazepine treatment showed excellent results. This is the first reported case of a symptomatic paroxysmal dyskinesia induced by a primary CNS lymphoma.
Rollnik
J D
JD
Neurologische Klinik mit Klinischer Neurophysiologie, Medizinische Hochschule Hannover. rollnik.jens@mh-hannover.de
Winkler
T
T
Ganser
A
A
D000328:Adult; D000927:Anticonvulsants / Q000627:therapeutic use; D001479:Basal Ganglia / Q000473:pathology; D001480:Basal Ganglia Diseases / Q000150:complications; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis*; D002220:Carbamazepine / Q000627:therapeutic use; D002819:Chorea / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004292:Dominance, Cerebral / Q000502:physiology; D006801:Humans; D007699:Kinesthesis / Q000502:physiology*; D008223:Lymphoma / Q000150:complications / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D013786:Thalamic Diseases / Q000150:complications / Q000175:diagnosis*; D013788:Thalamus / Q000473:pathology
D000927:Anticonvulsants; D002220:Carbamazepine
Paroxysmale Dyskinesien. Kasuistik eines Patienten mit symptomatischer paroxysmaler kinesigener Dyskinesie bei primärem ZNS-Lymphom.