Summary
An extrapyramidal disorder occurring in three generations of a family (only males) is described. The clinical features were progressive dementia and extrapyramidal signs without choreiform hyperkinesia. The youngest patient (onset of disease at the age of 22 years) showed tremor, rigidity, ataxia, convulsions, and myoclonus. The neuropathologic findings were characterized by isolated symmetrical degeneration of the corpus striatum and diffuse cortical atrophy without affecting other cerebrospinal neuronal systems. The clinical features of this familial disorder and its relation to other types of familial striatal degeneration and to the juvenile form of Huntington's chorea are discussed.
Zusammenfassung
Bericht über ein extrapyramidales Krankheitsbild mit Befall von 3 Generationen einer Familie (Großvater, Vater, Sohn), klinisch gekennzeichnet durch organische Demenz ohne choreiforme Hyperkinesen mit beim jüngsten Probanden (Krankheitsbeginn 22. Lebensjahr) vorherrschendem Tremor, Rigor, Ataxie sowie Krampfanfällen mit Myoklonien. Neuropathologisch fand sich eine symmetrische Striatumdegeneration und diffuse Großhirnrindenatrophie ohne sonstige zentralnervöse Systemdegenerationen. Die klinischen Besonderheiten dieses Krankheitsbildes und seine Beziehungen zu anderen Formen familiärer Striatumdegeneration sowie zur juvenilen Form der Chorea Huntington werden erörtert.
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Jellinger, K., Danielczyk, W., Kothbauer, P. et al. Familiäre Striatumdegeneration. Arch. Psychiat. Nervenkr. 227, 261–269 (1979). https://doi.org/10.1007/BF00367395
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DOI: https://doi.org/10.1007/BF00367395