• J. Neurol. Neurosurg. Psychiatr. · Feb 2019

    Review

    Unravelling of the paroxysmal dyskinesias.

    • Roberto Erro and Kailash P Bhatia.
    • Center for Neurodegenerative Diseases (CEMAND), Department of Medicine, Surgery and Dentistry "Scuola Medica Salernitana", Universitá di Salerno, Baronissi, Italy rerro@unisa.it.
    • J. Neurol. Neurosurg. Psychiatr. 2019 Feb 1; 90 (2): 227-234.

    AbstractParoxysmal dyskinesias (PxD) refer to a rare group of clinically and genetically heterogeneous disorders presenting with recurrent attacks of abnormal movements, typically dystonia, chorea or a combination thereof, without loss of consciousness. Classically, PxD have been categorised according to their triggers and duration of the attacks, but increasing evidence suggests that there is a certain degree of clinical and genetic overlap and challenges the concept that one phenotype is attributable to one single aetiology. Here we review the increasing spectrum of genetic conditions, as well as of other non-genetic disorders, that might present with PxD, provide criteria for case definition and propose a diagnostic workup to reach a definitive diagnosis, on which treatment is heavily dependent.© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

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