Brief Report with Video
Atypical Hallervorden–Spatz disease with preserved cognition and obtrusive obsessions and compulsions
Article first published online: 15 APR 2005
Copyright © 2005 Movement Disorder Society
Volume 20, Issue 7, pages 880–886, July 2005
How to Cite
Nicholas, A. P., Earnst, K. S. and Marson, D. C. (2005), Atypical Hallervorden–Spatz disease with preserved cognition and obtrusive obsessions and compulsions. Mov. Disord., 20: 880–886. doi: 10.1002/mds.20476
- Issue published online: 5 JUL 2005
- Article first published online: 15 APR 2005
- Manuscript Accepted: 19 NOV 2004
- Manuscript Revised: 18 NOV 2004
- Manuscript Received: 27 SEP 2004
This article includes Supplementary Video, available online at http://www.interscience.wiley.com/jpages/0885-3185/suppmat .
|jws-mds.20476.vid.mpg||13771K||Segment 1. Neurological examination of a 40-year-old Caucasian female. The patient presents with severe stuttering and hypophonia. Dystonia is seen in the legs greater than the arms, and there is a tendency for toe walking. The patient is able to ambulate with two four-pronged canes. Eye-of-the-tiger sign is seen on cranial magnetic resonance imaging scan. Segment 2. Neurological examination of the same patient at age 44 shows persistent severe stuttering and hypophonia. Finger taps show decreased amplitude, but there is no hand apraxia. Toe walking and dystonia of the feet persist while ambulating with a rolling walker. While walking, the patient exhibited obsessive behavior such as licking her finger and touching the wall. She also discusses other obsessions and compulsions. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi-annually.|
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