RETT SYNDROME AND ASSOCIATED MOVEMENT-DISORDERS

被引:90
作者
FITZGERALD, PM [1 ]
JANKOVIC, J [1 ]
PERCY, AK [1 ]
机构
[1] BAYLOR UNIV,DEPT NEUROL,6550 FANNIN 1801,HOUSTON,TX 77030
关键词
Bruxism; Chorea; Dystonia; Gait disturbance; Myoclonus; Oculogyric crisis; Parkinsonism; Rett syndrome; Stereotypies;
D O I
10.1002/mds.870050303
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Rett syndrome, a progressive neurodegenerative disorder described only in female subjects, is manifested by a wide spectrum of behavioral and motor abnormalities. We studied 32 patients with this disorder, ages 30 months to 28 years old, and characterized their extrapyramidal disturbance. The most common motor abnormalities were stereotyped movements and gait disturbance, seen in all patients. Bruxism, oculogyric crises, parkinsonism, and dystonia were also common, but myoclonus and choreoathetosis were seen only infrequently. The hyperkinetic movement disorders tended to dominate in younger patients, while bradykinetic disorders were more evident in the older patients. This study provides evidence that movement disorders seen in Rett syndrome reflect age‐related neurodegenerative changes in the basal ganglia. Copyright © 1990 Movement Disorder Society
引用
收藏
页码:195 / 202
页数:8
相关论文
共 34 条
  • [31] Riederer P, Brucke T, Sofic E, Et al., Neurochemical aspects of the Rett syndrome, Brain Dev, 7, pp. 351-360, (1985)
  • [32] Perry TL, Dunn HG, Ho HH, Crichton JU, Cerebrospinal fluid values for monoamine metabolites, γ‐aminobutyric acid, and other amino compounds in Rett syndrome, J Pediatr, 112, pp. 234-238, (1988)
  • [33] Naidu S, Wong DF, Sanche Roa P, Et al., Rett syndrome: positron emission tomography: metabolic‐clinical correlates, Ann Neurol, 24, (1988)
  • [34] Breese GR, Baumeister AA, McCown TJ, Et al., Behavioral differences between neonatal and adult 6‐hydroxydopamine‐treated rats to dopamine agonists: Relevance to neurological symptoms in clinical syndromes with reduced brain dopamine, J Pharmacol Exp Ther, 231, pp. 343-354, (1984)