movements Teaching Neuro Images Neurology Resident and Fellow Section 2013 American Academy of Neurology Case Vignette A 30 year old male with a history of generalized epilepsy presented with involuntary movements for 2 years ID: 709323
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A 30 year old male presenting with involuntary oral movementsTeaching NeuroImagesNeurologyResident and Fellow Section
© 2013 American Academy of NeurologySlide2
Case VignetteA 30 year old male with a history of generalized epilepsy presented with involuntary movements for 2 years.He had orofacial,
choreiform movements with sucking, grimacing and neck flexion which was exacerbated with eating. He also had oral ulcers due to involuntary biting.He had no family history of movement disorders Blood smear showed 20% acanthocytes. MRI was negative for white matter changes and caudate atrophyNerve conduction demonstrated sensory axonal neuropathy Gooneratne et al
© 2013 American Academy of NeurologySlide3
Gooneratne et al.
© 2013 American Academy of NeurologySlide4
Orofacial dyskinesia and oral ulceration due to involuntary biting in Neuroacanthocytosis
Orofacial dyskinesia as demonstrated, oral mutilation and feeding dystonia is typical of chorea-acanthocytosis[1]. Generalized seizures and axonal sensory neuropathy are associated [2].Gooneratne et al.
© 2013 American Academy of Neurology