Tags

Type your tag names separated by a space and hit enter

Arm Levitation as Initial Manifestation of Creutzfeldt-Jakob Disease: Case Report and Review of the Literature.

Abstract

Background

Arm levitation is an involuntary elevation of the upper limb, a manifestation of the alien-limb phenomenon. It has rarely been reported in Creutzfeldt-Jakob disease (CJD), less so as an initial manifestation.

Case Report

We report a 56-year-old right-handed man with rapidly progressive gait ataxia and involuntary elevation of the left upper limb. During the next few weeks, the patient developed cognitive impairment, apraxia, visual hallucinations, and myoclonus. He met diagnostic criteria for CJD. We evaluated additional published cases of early-appearance of alien-limb phenomenon in the context of CJD; there were 22 such cases and alien-limb phenomenon was the first and exclusive manifestation in only five of them.

Discussion

Arm levitation may be a distinct presentation of CJD, appearing earlier than other clinical features.

Authors+Show Affiliations

Department of Neurology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.Department of Neurology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. Department of Neurology, Ataxia Unit, Universidade Federal de São Paulo, São Paulo, SP, Brazil.Department of Neurology, University of Cincinnati, Cincinnati, OH, USA.Department of Neurology, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. Department of Neurology, Ataxia Unit, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Pub Type(s)

Case Reports
Journal Article
Review
Video-Audio Media

Language

eng

PubMed ID

30783548

Citation

Ciarlariello, Vinícius Boaratti, et al. "Arm Levitation as Initial Manifestation of Creutzfeldt-Jakob Disease: Case Report and Review of the Literature." Tremor and Other Hyperkinetic Movements (New York, N.Y.), vol. 8, 2018, p. 572.
Ciarlariello VB, Barsottini OGP, Espay AJ, et al. Arm Levitation as Initial Manifestation of Creutzfeldt-Jakob Disease: Case Report and Review of the Literature. Tremor Other Hyperkinet Mov (N Y). 2018;8:572.
Ciarlariello, V. B., Barsottini, O. G. P., Espay, A. J., & Pedroso, J. L. (2018). Arm Levitation as Initial Manifestation of Creutzfeldt-Jakob Disease: Case Report and Review of the Literature. Tremor and Other Hyperkinetic Movements (New York, N.Y.), 8, p. 572. doi:10.7916/D80C6CGX.
Ciarlariello VB, et al. Arm Levitation as Initial Manifestation of Creutzfeldt-Jakob Disease: Case Report and Review of the Literature. Tremor Other Hyperkinet Mov (N Y). 2018;8:572. PubMed PMID: 30783548.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Arm Levitation as Initial Manifestation of Creutzfeldt-Jakob Disease: Case Report and Review of the Literature. AU - Ciarlariello,Vinícius Boaratti, AU - Barsottini,Orlando G P, AU - Espay,Alberto J, AU - Pedroso,José Luiz, Y1 - 2018/12/10/ PY - 2018/05/01/received PY - 2018/09/12/accepted PY - 2019/2/21/entrez PY - 2019/2/21/pubmed PY - 2019/3/27/medline KW - Arm levitation KW - Creutzfeldt–Jakob disease KW - acute ataxia KW - alien-limb phenomenon KW - movement disorders SP - 572 EP - 572 JF - Tremor and other hyperkinetic movements (New York, N.Y.) JO - Tremor Other Hyperkinet Mov (N Y) VL - 8 N2 - Background: Arm levitation is an involuntary elevation of the upper limb, a manifestation of the alien-limb phenomenon. It has rarely been reported in Creutzfeldt-Jakob disease (CJD), less so as an initial manifestation. Case Report: We report a 56-year-old right-handed man with rapidly progressive gait ataxia and involuntary elevation of the left upper limb. During the next few weeks, the patient developed cognitive impairment, apraxia, visual hallucinations, and myoclonus. He met diagnostic criteria for CJD. We evaluated additional published cases of early-appearance of alien-limb phenomenon in the context of CJD; there were 22 such cases and alien-limb phenomenon was the first and exclusive manifestation in only five of them. Discussion: Arm levitation may be a distinct presentation of CJD, appearing earlier than other clinical features. SN - 2160-8288 UR - https://www.unboundmedicine.com/medline/citation/30783548/Arm_Levitation_as_Initial_Manifestation_of_Creutzfeldt-Jakob_Disease:_Case_Report_and_Review_of_the_Literature L2 - http://dx.doi.org/doi:10.7916/D80C6CGX DB - PRIME DP - Unbound Medicine ER -