Poststreptococcal dystonia with bilateral striatal enlargement: MR imaging and spectroscopic findings

AJNR Am J Neuroradiol. 2008 Aug;29(7):1276-8. doi: 10.3174/ajnr.A1065. Epub 2008 May 1.

Abstract

Isolated bilateral striatal necrosis is an abnormality of the basal ganglia associated with acute dystonia in children. This report describes the development of dystonic movements in a 7-year-old male patient 2 weeks after streptococcal pharyngitis.

Publication types

  • Case Reports

MeSH terms

  • Aspartic Acid / analogs & derivatives
  • Aspartic Acid / metabolism
  • Autoantibodies / blood*
  • Bacterial Proteins / blood
  • Caudate Nucleus / pathology*
  • Child
  • Deoxyribonucleases / immunology*
  • Diffusion Magnetic Resonance Imaging*
  • Dominance, Cerebral / physiology*
  • Dystonia / etiology*
  • Energy Metabolism / physiology*
  • Follow-Up Studies
  • Humans
  • Hypertrophy
  • Image Processing, Computer-Assisted*
  • Lactic Acid / metabolism
  • Magnetic Resonance Imaging*
  • Magnetic Resonance Spectroscopy*
  • Male
  • Necrosis
  • Neurologic Examination
  • Penicillanic Acid / analogs & derivatives
  • Penicillanic Acid / therapeutic use
  • Pharyngitis / complications*
  • Pharyngitis / drug therapy
  • Putamen / pathology*
  • Streptococcal Infections / complications*
  • Streptococcal Infections / drug therapy
  • Streptolysins / blood

Substances

  • Autoantibodies
  • Bacterial Proteins
  • Streptolysins
  • streptolysin O
  • Aspartic Acid
  • Lactic Acid
  • Penicillanic Acid
  • N-acetylaspartate
  • Deoxyribonucleases
  • aminopenicillanic acid