Steroid Treatment In a Neuroacanthocytosis Case Presenting With Respiratory Distress: Case Report

Number: 3 September 1, 2012
  • Gökhan Evcili
  • Hakan Ak
EN TR

Steroid Treatment In a Neuroacanthocytosis Case Presenting With Respiratory Distress: Case Report

Abstract

Neuroacanthocytosis is a neurodegeneretive disease characterized by movement disorders, seizures, dementia, and cognitive impairment associated with acanthocytes, spike-like abnormality of red blood cells. Lots of neuroacanthocytosis syndromes have been defined in the literature. A lot of syndrome and/or disease like Huntington disease, Parkinson Disease, Tourette Syndrome, and Wilson Disease could be accounted in the differential diagnosis of this pathology. Diagnosis is established in the presence of acanthocytes in the peripheral blood smear and clinical picture. Treatment is only symptomatic and no cure chance is present. Anticholinergic agents, antipsychotic agents, antiepileptic drugs, acetylcholine release inhibitors have been used for the treatment of symptoms. Herein, we are presenting a neuroacanthocytosis case presenting with acute respiratory distress. In the symptomatic relief, we used 1 gram/day methylprednisolone treatment for 10 days

Keywords

References

  1. Rafalowska J, Drac H, Jamrozik Z. Neuroacanthocytosis. Review of literature and case report. Folia Neuropathol 1996; 34(4):178-83.
  2. Lossos A, Dobson-Stone C, Monaco AP, Soffer D, Rahamim E, Newman JP et al. Early clinical heterogeneity in choreoacanthocytosis. Arch Neurol. 2005; 62(4): 611-4.
  3. Rubio JP, Danek A, Stone C, Chalmers R, Wood N, Verellen C et al. Chorea-acanthocytosis: genetic linkage to chromosome 9q21. Am J Hum Genet 1997; 61: 899-908.
  4. Walker RH, Morgello S, Davidoff-Feldman B, Melnick A, Walsh MJ, Shashidharan P et al. Autosomal dominant chorea-acanthocytosis with polyglutamine-contai-ning neuronal inclusions. Neurology 2002; 58: 1031-7.
  5. Hardie RJ, Pulln HW, Harding AE, Owen JS, Pires M, Daniels GI et al. Neuroacanthocytosis. A clinical, hematological and pathological study of 19 cases. Brain 1941; 14: 13-49.
  6. Feinberg TE, Cianci CD, Morrow JS, Pehta JC, Redman CM, Huima T et al. Diagnostic tests for choreoacanthocytosis. Neurology 1991;41: 1000-6.
  7. Sorrentino G, De Renzo A, Miniello S, Nori O, Bonavita V. Late appearance of acanthocytes during the course of choreaacanthocytosis. J Neurol Sci 1999; 163(2):175-8.
  8. Galgali RB, Srinivasan K, Kurpad SS, Neerakal I. Neuroacanthocytosis: a case report. Indian Journal of Psychiatry 2001; 43 (1): 87-9.

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Gökhan Evcili

Hakan Ak

Publication Date

September 1, 2012

Submission Date

-

Acceptance Date

-

Published in Issue

Year 1970 Number: 3

EndNote
Evcili G, Ak H (September 1, 2012) Solunum Sıkıntısı ile Başvuran Nöroakantositoz Olgusunda Steroid Tedavisi: Olgu Sunumu. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 3 193–196.