Document Detail


Neuroleptic malignant syndrome and acute motor axonal neuropathy after Campylobacter jejuni infection.
MedLine Citation:
PMID:  19716463     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the case of a patient with Parkinson's disease who developed rapidly progressive weakness of the four limbs due to an acute motor axonal neuropathy (AMAN). This occurred days after a neuroleptic malignant syndrome (NMS). Serologic evidence of a preceding Campylobacter jejuni infection was detected and treatment with intravenous immunoglobulins proved effective. This case suggests that the rarely described neuropathies occurring with NMS may have a postinfectious immune basis and respond to immunomodulatory therapy.
Authors:
Y A Rajabally; A Ramlackhansingh; M Fraser; R J Abbott
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-17
Journal Detail:
Title:  Neurophysiologie clinique = Clinical neurophysiology     Volume:  39     ISSN:  1769-7131     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-31     Completed Date:  2009-11-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8804532     Medline TA:  Neurophysiol Clin     Country:  France    
Other Details:
Languages:  eng     Pagination:  135-8     Citation Subset:  IM    
Affiliation:
Department of Neurology, Neuromuscular Clinic, Leicester General Hospital, University Hospitals of Leicester, Leicester LE5 4PW, United Kingdom. yusuf.rajabally@uhl-tr.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Antibodies, Bacterial / blood,  immunology
Antiparkinson Agents / adverse effects,  therapeutic use
Campylobacter Infections / complications*,  diagnosis
Campylobacter jejuni*
Electromyography
Fever / etiology
G(M1) Ganglioside / immunology
Guillain-Barre Syndrome / etiology*,  therapy
Humans
Immunoglobulin G / blood,  immunology
Immunoglobulin M / blood,  immunology
Immunoglobulins, Intravenous / therapeutic use
Lipopolysaccharides / immunology
Male
Middle Aged
Molecular Mimicry
Neural Conduction
Neuroleptic Malignant Syndrome / etiology*
Parkinson Disease / complications*,  drug therapy
Quadriplegia / etiology*
Unconsciousness / etiology
Chemical
Reg. No./Substance:
0/Antibodies, Bacterial; 0/Antiparkinson Agents; 0/Immunoglobulin G; 0/Immunoglobulin M; 0/Immunoglobulins, Intravenous; 0/Lipopolysaccharides; 37758-47-7/G(M1) Ganglioside

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