Von Economo’s disease and postencephalitic parkinsonism responsive to carbidopa and levodopa

Daniel Y Bigman, Bradford D Bobrin Department of Psychiatry, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USA Abstract: Postencephalitic parkinsonism (PEP) is currently perceived as having a very close etiologic relationship with encephalitis lethargica (von E...

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Autores principales: Bigman DY, Bobrin BD
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
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Acceso en línea:https://doaj.org/article/eb17703547f640fb9dd5185ad190611f
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Sumario:Daniel Y Bigman, Bradford D Bobrin Department of Psychiatry, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, NJ, USA Abstract: Postencephalitic parkinsonism (PEP) is currently perceived as having a very close etiologic relationship with encephalitis lethargica (von Economo’s disease [EL]), with PEP developing immediately after the acute phase of EL or at some time later. EL was classically described by von Economo and has somnolent-ophthalmoplegic, hyperkinetic, and amyostatic-akinetic forms. Previous cases have reported success with levodopa in PEP. We report a case with PEP showing success after administration of levodopa and carbidopa. This case would support the hypothesis that this syndrome effects dopamine neurotransmission. Keywords: von Economo, encephalitis lethargica, postencephalitic parkinsonism, carbidopa, levodopa, catatonia