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Fatal encephalitis in a patient with refractory celiac disease presenting with myorhythmia and carpal spasm
Author(s) -
Dimberg Elliot L.,
Crowe Sheila E.,
Trugman Joel M.,
Swerdlow Russell H.,
Lopes M. Beatriz,
Bourne T. David,
Burns Ted M.
Publication year - 2007
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.21324
Subject(s) - medicine , refractory (planetary science) , disease , encephalitis , movement disorders , carpal tunnel syndrome , neurological disorder , central nervous system disease , pediatrics , surgery , pathology , immunology , physics , virus , astrobiology
Abstract We report the case of a woman with refractory celiac disease who developed abnormal spontaneous movements of the extremities and face consistent with myorhythmia. Investigation led to a diagnosis of encephalitis, confirmed by postmortem examination. The movements were likely caused by nonparaneoplastic encephalitis associated with refractory celiac disease. Etiologic and diagnostic considerations and treatment options are discussed. © 2006 Movement Disorder Society