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Post-streptococcal 'complex' movement disorders: unusual concurrence of psychogenic and organic symptoms.

Abstract：

:Post-streptococcal neuropsychiatric disorders encompass a broad spectrum of movement disorders, including tics, stereotypies, dystonia and tremor. We report the case of a 15-year-old boy who presented with a relapsing-remitting combination of psychogenic and organic movement disorders. Both relapses occurred after an episode of streptococcal pharyngitis and consisted in motor and phonic tics, an atypical gait disorder, and severe worsening of a pre-existing psychogenic tremor of the right hand. After each relapse, both psychogenic and 'organic' symptoms concomitantly remitted after the administration of an association of oral steroids and antibiotics. The peculiarity of this case consists in the coexistence of psychogenic and organic symptoms subsequent to streptococcal infection, and broadens the clinical spectrum of post-streptococcal neuropsychiatric disorders.

journal_name

J Neurol Sci

journal_title

Journal of the neurological sciences

authors

Squintani G,Tinazzi M,Gambarin M,Bravi E,Moretto G,Buttiglione M,Defazio G,Martino D

doi

10.1016/j.jns.2009.10.004

subject

Has Abstract

pub_date

2010-01-15 00:00:00

pages

68-71

issue

1-2

eissn

0022-510X

issn

1878-5883

pii

S0022-510X(09)00900-9

journal_volume

288

pub_type

杂志文章

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