A case of rapid-onset dystonia-parkinsonism accompanied by pyramidal tract impairment.

ABSTRACT:

Background

Rapid-onset dystonia-parkinsonism (RDP) is a rare autosomal dominant disorder that is caused by mutations in the ATP1A3 gene and is characterized by an acute onset of asymmetric dystonia and parkinsonism. To date, fewer than 75 RDP cases have been reported worldwide. Clinical signs of pyramidal tract involvement have been reported in several RDP cases, and none of them included the Babinski sign.

Case presentation

We report a 24-year-old Chinese female with RDP who exhibited a strikingly asymmetric, predominantly dystonic movement disorder with a rostrocaudal gradient of involvement and parkinsonism. Physical examiniations revealed hyperactive reflexes, bilateral ankle clonus and positive Babinski sign in the right. DTI showed reduced white matter integrity of the

SUBMITTER: Liu Y 

PROVIDER: S-EPMC5105251 | biostudies-literature | 2016 Nov

REPOSITORIES: biostudies-literature