Crossed-reflex in antiphospholipid chorea
Chorea is a hyperkinetic movement disorder associated with various underlyingconditions, including autoimmune diseases such as antiphospholipid syndrome (APS). APS can manifest with a wide range of neurological symptoms, including chorea. We present a case of a 77-year-old man with subacute generali...
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| Published in | Neurological sciences Vol. 45; no. 9; pp. 4635 - 4637 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
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Springer International Publishing
01.09.2024
Springer Nature B.V |
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| Abstract | Chorea is a hyperkinetic movement disorder associated with various underlyingconditions, including autoimmune diseases such as antiphospholipid syndrome (APS). APS can manifest with a wide range of neurological symptoms, including chorea. We present a case of a 77-year-old man with subacute generalized chorea secondary to primary APS. Notably, the patient exhibited a left patellar crossed-reflex, a phenomenon rarely documented in chorea cases, the pathophysiology of which has not yet been elucidated. In summary, this case challenges the traditional demographics of antiphospholipid syndrome (APS) by suggesting a potential link between APS and late-age patients. It emphasizes the importance of considering APS in late-onset chorea cases. |
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| AbstractList | Chorea is a hyperkinetic movement disorder associated with various underlyingconditions, including autoimmune diseases such as antiphospholipid syndrome (APS). APS can manifest with a wide range of neurological symptoms, including chorea. We present a case of a 77-year-old man with subacute generalized chorea secondary to primary APS. Notably, the patient exhibited a left patellar crossed-reflex, a phenomenon rarely documented in chorea cases, the pathophysiology of which has not yet been elucidated. In summary, this case challenges the traditional demographics of antiphospholipid syndrome (APS) by suggesting a potential link between APS and late-age patients. It emphasizes the importance of considering APS in late-onset chorea cases. Chorea is a hyperkinetic movement disorder associated with various underlyingconditions, including autoimmune diseases such as antiphospholipid syndrome (APS). APS can manifest with a wide range of neurological symptoms, including chorea. We present a case of a 77-year-old man with subacute generalized chorea secondary to primary APS. Notably, the patient exhibited a left patellar crossed-reflex, a phenomenon rarely documented in chorea cases, the pathophysiology of which has not yet been elucidated. In summary, this case challenges the traditional demographics of antiphospholipid syndrome (APS) by suggesting a potential link between APS and late-age patients. It emphasizes the importance of considering APS in late-onset chorea cases.Chorea is a hyperkinetic movement disorder associated with various underlyingconditions, including autoimmune diseases such as antiphospholipid syndrome (APS). APS can manifest with a wide range of neurological symptoms, including chorea. We present a case of a 77-year-old man with subacute generalized chorea secondary to primary APS. Notably, the patient exhibited a left patellar crossed-reflex, a phenomenon rarely documented in chorea cases, the pathophysiology of which has not yet been elucidated. In summary, this case challenges the traditional demographics of antiphospholipid syndrome (APS) by suggesting a potential link between APS and late-age patients. It emphasizes the importance of considering APS in late-onset chorea cases. |
| Author | Pérez-Pérez, Jesús Querol-Gutiérrez, Luis Antonio Kulisevsky, Jaime Olmedo-Saura, Gonzalo Fernández-Vidal, Joan Miquel |
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| Cites_doi | 10.1152/jn.00450.2018 10.1016/j.clim.2018.04.002 10.1002/mdc3.13432 10.3389/fneur.2012.00150 10.1136/pn-2022-003587 |
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| Keywords | Crossed-reflex Chorea Antiphospholipid syndrome |
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| References | J. Perez-Perez, J. Diaz-Manera, J. Pagonabarraga, S. Martinez-Horta, M. Carceller, A. Horta, J. Marin, H. Bejr-Kasen, A. Guerrero, J. Kulisevsky. Hung up knee jerk reflex in Huntington’s disease: A clinical and neurophysiological study [abstract]. Mov Disord. 2017; 32 (suppl 2). https://www.mdsabstracts.org/abstract/hung-up-knee-jerk-reflex-in-huntingtons-disease-a-clinical-and-neurophysiological-study Ray, Donna, and Raymond Yung (2018) “Immune senescence, epigenetics and autoimmunity.” Clinical immunology (Orlando, Fla.) 196: 59–63. https://doi.org/10.1016/j.clim.2018.04.002 Peluso S, Antenora A, De Rosa A et al (2012) Antiphospholipid-related chorea. Front Neurol. 2012;3:150. Published. https://doi.org/10.3389/fneur.2012.00150 FaragMHuntBJAndrewsTCAntiphospholipid-related choreaPract Neurol202323215015210.1136/pn-2022-00358736207127 Laflamme, Olivier D, and Turgay Akay (2018) “Excitatory and inhibitory crossed reflex pathways in mice.” Journal of neurophysiology vol. 120,6: 2897–2907. https://doi.org/10.1152/jn.00450.2018 Lerjefors L, Andretta S, Bonato G, Mainardi M, Carecchio M, Antonini A. Antiphospholipid-Related Chorea: Two Case Reports and Role of Metabolic Imaging. Mov Disord Clin Pract. 2022;9(4):516–521. Published 2022 Mar 28. https://doi.org/10.1002/mdc3.13432 M Farag (7622_CR2) 2023; 23 7622_CR1 7622_CR3 7622_CR4 7622_CR5 7622_CR6 |
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| SubjectTerms | Aged Antibodies Anticoagulants Antiphospholipid syndrome Antiphospholipid Syndrome - complications Autoimmune diseases Chorea Chorea - etiology Chorea - physiopathology Conflicts of interest Glycoproteins Hospitals Humans Male Medicine Medicine & Public Health Movement disorders Neuro-Images Neurology Neuromuscular diseases Neuroradiology Neurosurgery Pathophysiology Patients Psychiatry Reflex - physiology Senescence Thrombosis |
| Title | Crossed-reflex in antiphospholipid chorea |
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