PMID- 11606688 OWN - NLM STAT- MEDLINE DCOM- 20011207 LR - 20190501 IS - 0022-3050 (Print) IS - 1468-330X (Electronic) IS - 0022-3050 (Linking) VI - 71 IP - 5 DP - 2001 Nov TI - Regression of ventral striatum hypometabolism after calcium/calcitriol therapy in paroxysmal kinesigenic choreoathetosis due to idiopathic primary hypoparathyroidism. PG - 691-5 AB - A [(18)F]-FDG PET study was performed in a 44 year old man with proximal kinesigenic choreoathetosis (PKC) secondary to idiopathic primary hypoparathyroidism (IPH) before and 1 year after calcium/calcitriol therapy. The [(18)F]-FDG PET performed before the start of the therapy disclosed a significant bilateral hypometabolism in the ventral striatum. One year later, with the patient still under calcium/calcitriol therapy and free of any occurrence of PKC episodes, the [(18)F]-FDG PET did not show the previously detected hypometabolism. The hypometabolism of the ventral striatum secondary to hypocalcaemia seems to play a crucial part in the pathogenesis of paroxysmal kinesigenic choreoathetosis associated with IPH. FAU - Volonte, M A AU - Volonte MA AD - Movement Disorder Unit, Department of Neuroscience, Istituto Scientifico Ospedale San Raffaele, Via Olgettina 60, 20132 Milano, Italy. FAU - Perani, D AU - Perani D FAU - Lanzi, R AU - Lanzi R FAU - Poggi, A AU - Poggi A FAU - Anchisi, D AU - Anchisi D FAU - Balini, A AU - Balini A FAU - Comi, G AU - Comi G FAU - Fazio, F AU - Fazio F LA - eng PT - Case Reports PT - Journal Article PL - England TA - J Neurol Neurosurg Psychiatry JT - Journal of neurology, neurosurgery, and psychiatry JID - 2985191R RN - 0 (Radiopharmaceuticals) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) RN - FXC9231JVH (Calcitriol) RN - IY9XDZ35W2 (Glucose) RN - SY7Q814VUP (Calcium) SB - IM MH - Adult MH - Basal Ganglia/diagnostic imaging/*metabolism/pathology MH - Brain Diseases, Metabolic/*chemically induced MH - Calcitriol/*adverse effects MH - Calcium/*adverse effects MH - Chorea/*drug therapy/*etiology MH - Fluorodeoxyglucose F18 MH - Glucose/metabolism MH - Humans MH - Hypothyroidism/*complications MH - Magnetic Resonance Imaging MH - Male MH - Radiopharmaceuticals MH - Tomography, Emission-Computed PMC - PMC1737590 EDAT- 2001/10/19 10:00 MHDA- 2002/01/05 10:01 PMCR- 2004/11/01 CRDT- 2001/10/19 10:00 PHST- 2001/10/19 10:00 [pubmed] PHST- 2002/01/05 10:01 [medline] PHST- 2001/10/19 10:00 [entrez] PHST- 2004/11/01 00:00 [pmc-release] AID - 10.1136/jnnp.71.5.691 [doi] PST - ppublish SO - J Neurol Neurosurg Psychiatry. 2001 Nov;71(5):691-5. doi: 10.1136/jnnp.71.5.691.