Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report

Fen Pan,1,2 Shangda Li,3 Haimei Li,3 Yi Xu,1,2 Manli Huang1,2 1Department of Psychiatry, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China; 2The Key Laboratory of Mental Disorder’s Management of Zhejiang Province, Hangzhou 310003, China; 3Scho...

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Autores principales:	Pan F, Li S, Li H, Xu Y, Huang M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Paroxysmal kinesigenic dyskinesia misdiagnosis PRRT2 gene Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4b059d95100b451b8d2ae087f7cb97bc
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spelling	oai:doaj.org-article:4b059d95100b451b8d2ae087f7cb97bc2021-12-02T06:20:07ZMisdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report1178-2021https://doaj.org/article/4b059d95100b451b8d2ae087f7cb97bc2018-06-01T00:00:00Zhttps://www.dovepress.com/misdiagnosed-atypical-paroxysmal-kinesigenic-dyskinesia-a-case-report-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Fen Pan,1,2 Shangda Li,3 Haimei Li,3 Yi Xu,1,2 Manli Huang1,2 1Department of Psychiatry, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China; 2The Key Laboratory of Mental Disorder’s Management of Zhejiang Province, Hangzhou 310003, China; 3School of Medicine, Zhejiang University, Hangzhou 310000, China Background: Paroxysmal kinesigenic dyskinesia (PKD) is characterized by sudden episodes of involuntary movements. PKD is a very rare movement disorder, and correct clinical diagnosis is often a challenge. Case: We present the case of a 23-year-old female with PKD. The patient showed episodes of twisting movements for 3 years. The symptoms lasted for about 5–10 minutes and subsided spontaneously. She was diagnosed as having epilepsy, and depressive and anxiety disorders successively. However, her symptoms did not alleviate after taking sodium valproate and antidepressants. Though there were no mutations in her PRRT2 gene, carbamazepine was used for treatment and was effective in controlling her symptoms. Conclusion: The clinical features of PKD patients are not always typical; therefore, it is important to distinguish PKD from the other subtypes of paroxysmal dyskinesia and psychogenic disorders. Keywords: paroxysmal kinesigenic dyskinesia, misdiagnosis, PRRT2 genePan FLi SLi HXu YHuang MDove Medical PressarticleParoxysmal kinesigenic dyskinesiamisdiagnosisPRRT2 geneNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 14, Pp 1433-1435 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Paroxysmal kinesigenic dyskinesia misdiagnosis PRRT2 gene Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Paroxysmal kinesigenic dyskinesia misdiagnosis PRRT2 gene Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Pan F Li S Li H Xu Y Huang M Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report
description	Fen Pan,1,2 Shangda Li,3 Haimei Li,3 Yi Xu,1,2 Manli Huang1,2 1Department of Psychiatry, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China; 2The Key Laboratory of Mental Disorder’s Management of Zhejiang Province, Hangzhou 310003, China; 3School of Medicine, Zhejiang University, Hangzhou 310000, China Background: Paroxysmal kinesigenic dyskinesia (PKD) is characterized by sudden episodes of involuntary movements. PKD is a very rare movement disorder, and correct clinical diagnosis is often a challenge. Case: We present the case of a 23-year-old female with PKD. The patient showed episodes of twisting movements for 3 years. The symptoms lasted for about 5–10 minutes and subsided spontaneously. She was diagnosed as having epilepsy, and depressive and anxiety disorders successively. However, her symptoms did not alleviate after taking sodium valproate and antidepressants. Though there were no mutations in her PRRT2 gene, carbamazepine was used for treatment and was effective in controlling her symptoms. Conclusion: The clinical features of PKD patients are not always typical; therefore, it is important to distinguish PKD from the other subtypes of paroxysmal dyskinesia and psychogenic disorders. Keywords: paroxysmal kinesigenic dyskinesia, misdiagnosis, PRRT2 gene
format	article
author	Pan F Li S Li H Xu Y Huang M
author_facet	Pan F Li S Li H Xu Y Huang M
author_sort	Pan F
title	Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report
title_short	Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report
title_full	Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report
title_fullStr	Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report
title_full_unstemmed	Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report
title_sort	misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/4b059d95100b451b8d2ae087f7cb97bc
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Misdiagnosed atypical paroxysmal kinesigenic dyskinesia: a case report

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