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KMID : 0361420100340050583
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Journal of Korean Academy of Rehabilitation Medicine
2010 Volume.34 No. 5 p.583 ~ p.586
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Dopa-responsive Dystonia Misdiagnosed as Cerebral Palsy and Hereditary Spastic Paraplegia 2 Cases -Two cases report-
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Kim Eun-Sang
Park Hong-Souk
Yoon Young-Kwan
Kim Ae-Ryoung
Choi Jung-Hwa
Won Yu-Hui
Cho Sung-Rae
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Abstract
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Dystonia is a movement disorder caused by involuntary, sustained muscle contractions, frequently resulting in twitching and repetitive movements or abnormal postures. Dopa- responsive dystonia (DRD) is characterized by early childhood onset, marked diurnal fluctuation of symptoms and dramatic response to levodopa. The aim of this report is to present the two cases of DRD misdiagnosed respectively as cerebral palsy and hereditary spastic paraplegia. Proper understanding of this disease entity and its treatment options are necessary for comprehensive rehabilitative management of DRD.
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KEYWORD
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Dopa-responsive dystonia, Diurnal variation, Levodopa
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