Presentation
Pallidopyramidal syndrome and hereditary spastic paraplegia (HSP) can present common features and diagnostic approach has to be careful. genetic assessment is the gold diagnosis… CONTINUE READING [semanticscholar.org]
The documents contained in this web site are presented for information purposes only. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
Entire Body System
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Progressive Dementia
dementia [ more ] 0000726 Lewy bodies 0100315 Percent of people who have these symptoms is not available through HPO Abnormality of extrapyramidal motor function 0002071 Autosomal recessive inheritance 0000007 Dysarthria Difficulty articulating speech [rarediseases.info.nih.gov]
GERSTMANN-STRAUSSLER DISEASE; GSD Is also known as encephalopathy, subacute spongiform, gerstmann-straussler type, gerstmann-straussler-scheinker disease;gss, cerebellar ataxia, progressive dementia, and amyloid deposits in cns, amyloidosis, cerebral, [mendelian.co]
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Impaired Balance
Symptoms worsen over time and include resting tremor, muscular rigidity, bradykinesia [abnormal slowness of movement], and postural instability [impaired balance and coordination]; additional symptoms may include postural abnormalities, dysautonomia [ [flybase.org]
Gastrointestinal
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Muscle Rigidity
rigidity 0002063 Shuffling gait Shuffled walk 0002362 Sleep disturbance Difficulty sleeping Trouble sleeping [ more ] 0002360 Slow saccadic eye movements Slow eye movements 0000514 Spasticity Involuntary muscle stiffness, contraction, or spasm 0001257 [rarediseases.info.nih.gov]
Note the attitude, position of hands and fingers, and the well-defined contour of the muscles (rigidity). Figure 1 Case 1. Progressive atrophy of the globus pallidus at age of 17, 2 years after the onset of disease. [academic.oup.com]
Musculoskeletal
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Scissoring Gait
gait Scissor walk Scissors gait [ more ] 0012407 Slow progression Signs and symptoms worsen slowly with time 0003677 Tremor 0001337 Young adult onset 0011462 Showing of 32 Last updated: 3/1/2020 If you need medical advice, you can look for doctors or [rarediseases.info.nih.gov]
Clinical features included tremor, rigidity, akinesia, scissor gait, and hyperreflexia. The disorder was progressive until the institution of levodopa treatment at the ages of 18 and 20 years, respectively. [syndromefinder.ncchd.go.jp]
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Brachydactyly
%112410 Brachydactyly, type E #113300 TP: Two forms and loci of brachydactyly and hypertension OMIM 9696728 Primary lateral sclerosis #606353 Spastic paralysis #607225 TP: lateral sclerosis and spastic paralysis are allelic disorders with overlapping [cbs.dtu.dk]
Face, Head & Neck
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Dull Facial Expression
facial expression 0000338 Intention tremor 0002080 Monotonic speech 0031435 Myoclonus 0001336 Neurogenic bladder Lack of bladder control due to nervous system injury 0000011 Postural instability Balance impairment 0002172 Rigidity Muscle rigidity 0002063 [rarediseases.info.nih.gov]
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Hypomimia
At the time of the report, only the 3 most severely affected individuals showed detectable extrapyramidal symptoms, including rigidity, bradykinesia, hypomimia, and monotone speech. [syndromefinder.ncchd.go.jp]
Pill-rolling tremor, hypomimia, hypophonia, stooping posture, striatal toes and equinovarous deformity may be noted. The pyramidal features include paraparesis, scissoring of gait, Bakinski sign, hyperreflexia, and pseudobulbar effect. [neurologyindia.com]
Parkinsonian-pyramidal disease consists of the combination of parkinsonism and pyramidal features, but cerebellar symptoms have been also described in rare cases.13 In addition to the typical parkinsonian features such as rest tremor, rigidity, bradykinesia, hypomimia [jamanetwork.com]
Neurologic
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Tremor
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
Orpha Number: 171695 Definition Parkinsonian-pyramidal syndrome is a rare, genetic, neurological disorder characterized by the association of both parkinsonian (i.e. bradykinesia, rigidity and/or rest tremor) and pyramidal (i.e. increased reflexes, extensor [rarediseases.info.nih.gov]
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Resting Tremor
[…] diseases Search Search for a rare disease Parkinsonian-pyramidal syndrome Disease definition Parkinsonian-pyramidal syndrome is a rare, genetic, neurological disorder characterized by the association of both parkinsonian (i.e. bradykinesia, rigidity and/or rest [orpha.net]
Orpha Number: 171695 Definition Parkinsonian-pyramidal syndrome is a rare, genetic, neurological disorder characterized by the association of both parkinsonian (i.e. bradykinesia, rigidity and/or rest tremor) and pyramidal (i.e. increased reflexes, extensor [malacards.org]
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Hyperreflexia
Symptoms * Pyramidal signs * Parkinson disease * Tremor * Rigidity * Hyperreflexia * Spastic muscle tone * Gait disturbance * Bradykinesia * Dysarthria * Dysphagia Diagnosis signs and symptoms of Pallidopyramidal syndrome may vary on an individual basis [checkorphan.org]
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
[…] symptoms Abnormal autonomic nervous system physiology 0012332 Babinski sign 0003487 Bradykinesia Slow movements Slowness of movements [ more ] 0002067 Dysphagia Poor swallowing Swallowing difficulties Swallowing difficulty [ more ] 0002015 Dystonia 0001332 Hyperreflexia [rarediseases.info.nih.gov]
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Postural Instability
Clinical manifestations include tremor, bradykinesia, rigidity, postural instability, spasticity, mainly in the lower limbs, and hyperreflexia. [malacards.org]
instability Balance impairment 0002172 Rigidity Muscle rigidity 0002063 Shuffling gait Shuffled walk 0002362 Sleep disturbance Difficulty sleeping Trouble sleeping [ more ] 0002360 Slow saccadic eye movements Slow eye movements 0000514 Spasticity Involuntary [rarediseases.info.nih.gov]
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Pyramidal Tract Signs
METHODS:: We performed clinical and genetic studies in two families with early-onset, progressive parkinsonism and pyramidal tract signs. [moh-it.pure.elsevier.com]
Methods: We performed clinical and genetic studies in two families with early-onset, progressive parkinsonism and pyramidal tract signs. [n.neurology.org]
Workup
The MRI workup of NBIA is incomplete without T2*-weighted acquisitions and/or SWI imaging. They enhance this degree of hypointensity (described as “blooming”). [annalsofian.org]
Treatment
The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]
SUMMARY: During the past 18 months, important advances have been made towards understanding the genetic and pathological underpinnings of the pallidopyramidal syndromes with important implications for clinical practice and future treatment developments [ncbi.nlm.nih.gov]
Prognosis
Electrophysiological trying out can aid prognosis yet provided that the fitting exams are ordered. they have to be accurately interpreted along side the particular signs. [karmen-shop.com.ua]
Report to the Nation on Prostate Cancer 2004, Chapter 1: Detection, Diagnosis, and Prognosis of Prostate Cancer CME. Medscape Today, Clinical Update [On-line CME]. Available online at through . (2004 August 17, Reviewed). [labtestsonline.org.cn]
Suchowersky O, Reich S, Perlmutter J, Zesiewicz T, Gronseth G, Weiner WJ: Practice Parameter: diagnosis and prognosis of new onset Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology [karger.com]
Facial dystonia: clinical features, prognosis and pharmacology in 31 patients. Ital J Neurol Sci 1989;10:553-560. 26. Fahn S. High dosage anticholinergic therapy in dystonia. Neurology 1983;33:1255-1261. 27. Burke RE, Fahn S, Marsden CD. [flandershealth.us]
Dopa-responsive dystonia: long-term treatment response and prognosis. Neurology 1991;41(2 Pt 1):174–181. 26. Nygaard TG. Dopa-responsive dystonia. Delineation of the clinical syndrome and clues to pathogenesis. Adv Neurol 1993;60:577–585. 27. [synapse.koreamed.org]
Etiology
DRD-plus also has the same etiologic background with DRD, but DRD-plus patients have more severe features that are not seen in DRD because of the severity of the genetic defect. [snucm.elsevierpure.com]
Singleton and Niall Quinn}, journal {Movement disorders : official journal of the Movement Disorder Society}, year {2009}, volume {24 1}, pages { 138-40 } } Insights into the etiology of Parkinson’s disease (PD) disorders have resulted from the identification [semanticscholar.org]
Still the only major text on the subject, the completely revised and updated second edition of Parkinson's Disease: Diagnosis and Clinical Management comes at a time when specialists have made important advances in our understanding of the etiology, pathogenesis [books.google.de]
Etiology and histopathology Considering the etiology, bilateral striopallidodentate calcinosis can be subdivided into four forms, with first to third belonging to Fahr’s disease, that means lacking of secondary causes [1]: 1. Autosomal dominant; 2. [bmcneurol.biomedcentral.com]
Primary parkinsonism (Parkinson disease) is a progressive disorder of unknown etiology or of a known gene defect, and the diagnosis is usually made by excluding other known causes of parkinsonism ( Fahn, 1992 ). [neupsykey.com]
Epidemiology
[…] data: Class of prevalence: unknown Average age onset: neonatal/infancy Average age of death: - Type of inheritance: autosomal dominant Epidemiological data: Class of prevalence: - Average age onset: adolescence / young Average age of death: - Type of [csbg.cnb.csic.es]
Juvenile parkinsonism: epidemiology, diagnosis and treatment. CNS Drugs 2010;24:467-77. Di Fonzo A, Chien HF, Socal M, et al. ATP13A2 missense mutations in juvenile parkinsonism and young onset Parkinson disease. Neurology 2007;68:1557-62. [rarediseases.org]
Epidemiology Movement disorders are common neurologic problems, and epidemiological studies are available for some of them ( Table 1.3 ). [neupsykey.com]
Huber (Department for Neurodegenerative Diseases, Hertie Institute for Clinical Brain Research), Gavin Hudson (Neurology M4104, The Medical School, Newcastle upon Tyne, UK), Sarah E Hunt (Wellcome Trust Sanger Institute), Thomas Illig (Institute of Epidemiology [journals.plos.org]
Epidemiology of focal and generalized dystonia in Rochester, Minnesota. Mov Disord 1988;3:188-194. 9. McCann JD, Gauthier M, Morschbacher R, et al. A novel mechanism for benign essential blepharospasm. [flandershealth.us]
Pathophysiology
Neurodegeneration with Brain Iron Accumulation: Genetic Diversity and Pathophysiological Mechanisms. Annu Rev Genomics Hum Genet 2015;16:257-79. Park JS, Blair NF, Sue CM. [rarediseases.org]
[Journal Article] M Medicine (Baltimore) 2019; 98(17):e15390 CONCLUSIONS: We presume that the pathophysiology of FS was related to primary hypoparathyroidism and hypomagnesemia. [unboundmedicine.com]
Although the complex molecular pathophysiology of neurodegeneration is largely unknown, major advances have been achieved by elucidating the genetic defects underlying mendelian forms of these diseases 2. [nature.com]
Potential Pathophysiological Crosstalk between Parkin and FBXO7 signalling pathways. Electronic J Biol, 12:4. [ejbio.imedpub.com]
Epidemiliogy, Genetics, and Pathophysiology Sporadic or autosomal-dominant familial forms of FTDP have long been associated with mutations in the microtubule-associated protein tau (MAPT).1 The identification of loss-of-function mutations in progranulin [neurology.mhmedical.com]
Prevention
Immediate drainage is imperative to relieve increased tension and prevent development of osteomyelitis of the distal phalanx. [accesssurgery.mhmedical.com]
We find also that binding of Fbxo7 to Skp1 prevents its interaction with Crm1, a component of the nuclear export machinery suggesting that association with the other SCF components directly promotes the nuclear accumulation of the protein. [cancerres.aacrjournals.org]
Cardiovascular Risk Factor Management in the Prevention of Stroke: Satellite Symposium Held on the Occasion of the 11th European Stroke Conference, ... 2002: Proceedings (CEREBROVASCULAR DISEASES) Mechanism and Management of Headache, 7e Tourette Syndrome [karmen-shop.com.ua]
These septa result in a closed compartment at the distal phalanx, which helps prevent the proximal spread of infection. [emedicine.medscape.com]
Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive [jamanetwork.com]