2. Headache Classiﬁcation Committee of the
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treatment. Neurology 2003; 60: 905–909.
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the mode of action with triptans, had been
Medication overuse headache: a focus onanalgesics, ergot alkaloids and triptans.
eﬀective. Diﬀerential diagnoses include (1)
unsuccessful, making this case atypical.
Buzzi G. Subcutaneous sumatriptan induces
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(2) obstructive sleep apnea syndrome, for
after the application of rizatriptan. Fur-
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RB. Placebo response in clinical randomized
not be ruled out since the patient did not
trials of analgesics in migraine. Cephalalgia
pressure, not requiring further medication.
To avoid potential long-term side eﬀects
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associated with the frequent use of trip-
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hyperintensities in the caudate nuclei and
putamina predominating on the right side.
sive ataxia, visual disturbances and epi-
after the onset of the disease. Neuropath-
ﬁrst the left hand before spreading to the
icking an hemidystonia. She also had left
France (tel.: +33 2 32 88 87 40; fax: +33
malformation involving the striatopallidal
complex, particularly the putamen .
Keywords: hemidystonia, Creutzfeldt–Jacob disease, basal ganglia
Ó 2006 EFNS European Journal of Neurology 13, 666–672
myoclonus, dystonia, choreoathetosis ,
ganglia (BG) in most of the patients with
clinical parkinsonian syndromes, i.e.
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as the presenting sign in Creutzfeldt–Jakob
disease. Movement Disorders 2002; 17: 1097–
aﬀect 0.5–5% of the cases, and are often
loss in the BG correlated with the gener-
alized dystonia observed during the ﬁnal
6. Sethi KD, Hess DC. Creutzfeldt–Jakob
dystonia is however rare, generally focal
disease presenting with ataxia and a move-
ment disorder. Movement Disorders 1991; 6:
7. Anschell DJ, Simon DK, Llinas R, Joseph
generalized dystonia occur during the later
8. Schro¨ter A, Zerr I, Henkel K, Tschampa
Editor, for his valuable advice in editing
resonance imaging in the clinical diagnosis
of Creutzfeldt-Jakob disease. Archives of
thalami and pallidi . Dystonia observed
9. Lehericy S, Vidailhet M, Dormont D, et al.
after striatopallidal lesions are character-
1. Chuang C, Fahn S, Frucht SJ. The natural
Striatopallidal and thalamic dystonia: an
ized by sustained spasms whereas dystonia
dystonia: report of 33 cases and review of
occurring after thalamic lesion are asso-
the literature. Journal of Neurology, Neuro-
surgery and Psychiatry 2002; 72: 59–67.
spongiform encephalopathy (Creutzfeldt–
predominating in the hand . In our case
2. McKee D, Talbot P. Chorea as a presenting
Jakob disease). The nature and progression
left hemidystonia was correlated with the
of spongiform change. Brain 1978; 101: 333–
disease. Movement Disorders 2003; 18: 837–
11. Oberndorfer S, Urbanits S, Lahrmann H,
3. Litvan I, Agid Y, Goetz C, et al. Accuracy
Jarius C, Albrecht G, Grisold W. Familial
commonly aﬀected by CJD lesions .
of the clinical diagnosis of corticobasal
Creutzfeldt–Jakob disease initially present-
degeneration: a clinicopathologic study.
ing with alien hand syndrome. Journal ofNeurology 2002;
experimental evidence of the eﬀect of he-
phyria during pregnancy in a patient with
. We accept that there is little published
in pregnancy, but had the clinicians con-
tacted the manufacturer of haem- arginate
Immunology,Cardiﬀ University, Cardiﬀ,
never needed to resort to this drastic ac-
phrase Ôcould only be treated successfully
by an induced abortionÕ as all the patients
we have dealt with have been successfully
treated with haem-arginate. Indeed several
of these patients have had repeated cour-
attacks, with no apparent adverse eﬀect
disorder. The published results in this case
on the foetus. The authors state that this
are diﬃcult to interpret because of the use
of mass units and the absence of reference
values. In addition, protoporphyrin is not
excreted in urine as a result of its hydo-
drug with a reference to a review . This
phobicity and it is diﬃcult to see how this
is a misrepresentation of the article which
fetotoxic eﬀects are unknown and quotes
of acute porphyria and this article high-
Ó 2006 EFNS European Journal of Neurology 13, 666–672
NEMEF radiografische afstandsbediening De Nemef afstandsbediening is, in combinatie met de juiste programmeerkaart, geschikt voor gebruik met de Nemef Radaris producten. Alvorens de afstandsbediening gebruikt kan worden dient deze te worden aangemeld bij het product waarvoor het gebruikt gaat worden, raadpleeg daarvoor de handleiding van het betreffende product. De afstandsbediening wordt standaa
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