Paroxysmal kinesigenic dyskinesias.

Abstract:

:The paroxysmal dyskinesias (PxDs) are involuntary, intermittent movement disorders manifested by dystonia, chorea, athetosis, ballismus or any combination of these hyperkinetic disorders. Paroxysmal kinesigenic dyskinesia (PKD), one of the four main types of PxD, involves sudden attacks of dyskinesias induced by voluntary movements. PKD most commonly occurs sporadically or as an autosomal-dominant familial trait with variable penetrance. Many causes of secondary PKD are being recognized. The exact pathophysiology of the PxDs awaits further elucidation, although basal ganglia dysfunction appears to play a major role. Although the precise gene remains unknown, genetic linkage studies have isolated loci on chromosome 16, which colocalizes with the locus for familial infantile convulsions and paroxysmal choreoathetosis in some studies. The episodic nature of PKD and its relationship with other episodic diseases, such as epilepsy, migraine, and episodic ataxia, suggests channelopathy as a possible underlying etiology. PKD may remit spontaneously, but it also responds well to anticonvulsants as well as some other agents.

journal_name

Semin Pediatr Neurol

authors

Lotze T,Jankovic J

doi

10.1016/s1071-9091(02)00012-8

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

68-79

issue

1

eissn

1071-9091

issn

1558-0776

pii

S1071-9091(02)00012-8

journal_volume

10

pub_type

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