Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepine

Introduction: According to the World Health Organization, 44 million people worldwide suffer from Alzheimer’s disease. Abnormal movements are atypical symptoms of Alzheimer’s disease. Case description: An 87-year-old woman, followed for Alzheimer’s disease, experienced abnormal movements. The episod...

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Main Authors: Patrick Manckoundia, Jérémie Vovelle, Sylvia Cancemi, Rachid Mahmoudi, Thomas Renoncourt
Format: Article
Language:English
Published: SMC MEDIA SRL 2024-12-01
Series:European Journal of Case Reports in Internal Medicine
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Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/4943
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author Patrick Manckoundia
Jérémie Vovelle
Sylvia Cancemi
Rachid Mahmoudi
Thomas Renoncourt
author_facet Patrick Manckoundia
Jérémie Vovelle
Sylvia Cancemi
Rachid Mahmoudi
Thomas Renoncourt
author_sort Patrick Manckoundia
collection DOAJ
description Introduction: According to the World Health Organization, 44 million people worldwide suffer from Alzheimer’s disease. Abnormal movements are atypical symptoms of Alzheimer’s disease. Case description: An 87-year-old woman, followed for Alzheimer’s disease, experienced abnormal movements. The episodes lasted 30 minutes, were involuntary, uncontrollable, anarchic, predominantly in the upper limbs, and without loss of consciousness or bladder control. An electroencephalogram ruled out atypical epilepsy. Pharmacovigilance investigation ruled out a drug-related cause. Magnetic resonance imaging revealed abnormalities suggestive of Alzheimer’s disease, with no other evidence to explain the abnormal movements. Apart from the presence of Alzheimer’s disease biomarkers, cerebrospinal fluid analysis found no abnormality. Dopamine transporter scan rule out an atypical parkinsonian syndrome. Finally, abnormal movements associated with Alzheimer’s disease were suspected. Abnormal movements disappeared within 72 hours on low-dose carbamazepine. Conclusion: This case is educational both because of the clinical presentation and the management of symptoms.
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issn 2284-2594
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publisher SMC MEDIA SRL
record_format Article
series European Journal of Case Reports in Internal Medicine
spelling doaj-art-dad3d729ccf146229c4147129dddab9a2025-01-07T13:40:28ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942024-12-0110.12890/2024_0049434478Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepinePatrick Manckoundia0Jérémie Vovelle1Sylvia Cancemi2Rachid Mahmoudi3Thomas Renoncourt4Department of Geriatrics and Internal Medicine, Champmaillot Hospital, University Hospital, Dijon, France; UMR Inserm/U1093 Cognition, Action, Sensorimotor Plasticity, University of Burgundy and Franche Comté, Dijon, FranceDepartment of Geriatrics and Internal Medicine, Champmaillot Hospital, University Hospital, Dijon, FranceDepartment of Medical Care and Rehabilitation in Geriatrics, University Hospital, Dijon, FranceDepartment of Internal Medicine and Acute Geriatrics, University Hospital, Reims, FranceDepartment of Geriatrics and Internal Medicine, Champmaillot Hospital, University Hospital, Dijon, France; UMR Inserm/U1093 Cognition, Action, Sensorimotor Plasticity, University of Burgundy and Franche Comté, Dijon, FranceIntroduction: According to the World Health Organization, 44 million people worldwide suffer from Alzheimer’s disease. Abnormal movements are atypical symptoms of Alzheimer’s disease. Case description: An 87-year-old woman, followed for Alzheimer’s disease, experienced abnormal movements. The episodes lasted 30 minutes, were involuntary, uncontrollable, anarchic, predominantly in the upper limbs, and without loss of consciousness or bladder control. An electroencephalogram ruled out atypical epilepsy. Pharmacovigilance investigation ruled out a drug-related cause. Magnetic resonance imaging revealed abnormalities suggestive of Alzheimer’s disease, with no other evidence to explain the abnormal movements. Apart from the presence of Alzheimer’s disease biomarkers, cerebrospinal fluid analysis found no abnormality. Dopamine transporter scan rule out an atypical parkinsonian syndrome. Finally, abnormal movements associated with Alzheimer’s disease were suspected. Abnormal movements disappeared within 72 hours on low-dose carbamazepine. Conclusion: This case is educational both because of the clinical presentation and the management of symptoms.https://www.ejcrim.com/index.php/EJCRIM/article/view/4943abnormal movementsalzheimer’s diseasemanagement
spellingShingle Patrick Manckoundia
Jérémie Vovelle
Sylvia Cancemi
Rachid Mahmoudi
Thomas Renoncourt
Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepine
European Journal of Case Reports in Internal Medicine
abnormal movements
alzheimer’s disease
management
title Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepine
title_full Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepine
title_fullStr Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepine
title_full_unstemmed Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepine
title_short Movement disorders that occurred as late manifestations of Alzheimer’s disease controlled by a low dose of carbamazepine
title_sort movement disorders that occurred as late manifestations of alzheimer s disease controlled by a low dose of carbamazepine
topic abnormal movements
alzheimer’s disease
management
url https://www.ejcrim.com/index.php/EJCRIM/article/view/4943
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