Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin

Detalhes bibliográficos
Autor(a) principal: Sousa, Ana L
Data de Publicação: 2019
Outros Autores: Salgado, Paula, Alves, José E, Silva, Sara, Ferreira, Sofia, Magalhães, Marina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.16/2450
Resumo: Background: Chronic hepatic disease can present with extrapyramidal symptoms. We describe two cases that presented with highly unusual movement disorders: ballism and gait freezing. Case report: Patient 1 is a 42-year-old man with previous episodes of hepatic encephalopathy (HE) who presented with upper limb dystonia and generalized chorea that progressed to ballism. Patient 2 is a 55-year-old woman who presented with pronounced gait freezing. In both patients, features of HE and acquired hepatocerebral degeneration coexisted. They improved markedly, though transiently, with rifaximin. Discussion: Ammonia-reducing treatments should be considered in patients presenting with movement disorders due to chronic liver disease.
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spelling Uncommon Movement Disorders in Chronic Hepatic Disease with Response to RifaximinHepatic diseaseballismfreezingrifaximinBackground: Chronic hepatic disease can present with extrapyramidal symptoms. We describe two cases that presented with highly unusual movement disorders: ballism and gait freezing. Case report: Patient 1 is a 42-year-old man with previous episodes of hepatic encephalopathy (HE) who presented with upper limb dystonia and generalized chorea that progressed to ballism. Patient 2 is a 55-year-old woman who presented with pronounced gait freezing. In both patients, features of HE and acquired hepatocerebral degeneration coexisted. They improved markedly, though transiently, with rifaximin. Discussion: Ammonia-reducing treatments should be considered in patients presenting with movement disorders due to chronic liver disease.Ubiquity PressRepositório Científico do Centro Hospitalar Universitário de Santo AntónioSousa, Ana LSalgado, PaulaAlves, José ESilva, SaraFerreira, SofiaMagalhães, Marina2020-08-27T10:42:12Z20192019-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2450engSousa AL, Salgado P, Alves JE, Silva S, Ferreira S, Magalhães M. Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin. Tremor Other Hyperkinet Mov (N Y). 2019;9:10.7916/tohm.v0.649. Published 2019 Aug 2. doi:10.7916/tohm.v0.6492160-828810.7916/tohm.v0.649info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:00:45Zoai:repositorio.chporto.pt:10400.16/2450Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:38.603754Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
title Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
spellingShingle Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
Sousa, Ana L
Hepatic disease
ballism
freezing
rifaximin
title_short Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
title_full Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
title_fullStr Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
title_full_unstemmed Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
title_sort Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin
author Sousa, Ana L
author_facet Sousa, Ana L
Salgado, Paula
Alves, José E
Silva, Sara
Ferreira, Sofia
Magalhães, Marina
author_role author
author2 Salgado, Paula
Alves, José E
Silva, Sara
Ferreira, Sofia
Magalhães, Marina
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório Científico do Centro Hospitalar Universitário de Santo António
dc.contributor.author.fl_str_mv Sousa, Ana L
Salgado, Paula
Alves, José E
Silva, Sara
Ferreira, Sofia
Magalhães, Marina
dc.subject.por.fl_str_mv Hepatic disease
ballism
freezing
rifaximin
topic Hepatic disease
ballism
freezing
rifaximin
description Background: Chronic hepatic disease can present with extrapyramidal symptoms. We describe two cases that presented with highly unusual movement disorders: ballism and gait freezing. Case report: Patient 1 is a 42-year-old man with previous episodes of hepatic encephalopathy (HE) who presented with upper limb dystonia and generalized chorea that progressed to ballism. Patient 2 is a 55-year-old woman who presented with pronounced gait freezing. In both patients, features of HE and acquired hepatocerebral degeneration coexisted. They improved markedly, though transiently, with rifaximin. Discussion: Ammonia-reducing treatments should be considered in patients presenting with movement disorders due to chronic liver disease.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-01-01T00:00:00Z
2020-08-27T10:42:12Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.16/2450
url http://hdl.handle.net/10400.16/2450
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Sousa AL, Salgado P, Alves JE, Silva S, Ferreira S, Magalhães M. Uncommon Movement Disorders in Chronic Hepatic Disease with Response to Rifaximin. Tremor Other Hyperkinet Mov (N Y). 2019;9:10.7916/tohm.v0.649. Published 2019 Aug 2. doi:10.7916/tohm.v0.649
2160-8288
10.7916/tohm.v0.649
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Ubiquity Press
publisher.none.fl_str_mv Ubiquity Press
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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