PT - JOURNAL ARTICLE AU - Panagiotakaki, Eleni AU - Doummar, Diane AU - Nogue, Erika AU - Nagot, Nicolas AU - Lesca, Gaetan AU - Riant, Florence AU - Nicole, Sophie AU - Delaygue, Charlene AU - Barthez, Marie Anne AU - Nassogne, Marie Cécile AU - Dusser, Anne AU - Vallée, Louis AU - Billette, Thierry AU - Bourgeois, Marie AU - Ioos, Christine AU - Gitiaux, Cyril AU - Laroche, Cécile AU - Milh, Mathieu AU - Portes, Vincent Des AU - Arzimanoglou, Alexis AU - Roubertie, Agathe AU - , TI - Movement disorders in patients with alternating hemiplegia AID - 10.1212/WNL.0000000000009175 DP - 2020 Mar 31 TA - Neurology PG - e1378--e1385 VI - 94 IP - 13 4099 - http://n.neurology.org/content/94/13/e1378.short 4100 - http://n.neurology.org/content/94/13/e1378.full SO - Neurology2020 Mar 31; 94 AB - Objective To assess nonparoxysmal movement disorders in ATP1A3 mutation-positive patients with alternating hemiplegia of childhood (AHC).Methods Twenty-eight patients underwent neurologic examination with particular focus on movement phenomenology by a specialist in movement disorders. Video recordings were reviewed by another movement disorders specialist and data were correlated with patients' characteristics.Results Ten patients were diagnosed with chorea, 16 with dystonia (nonparoxysmal), 4 with myoclonus, and 2 with ataxia. Nine patients had more than one movement disorder and 8 patients had none. The degree of movement disorder was moderate to severe in 12/28 patients. At inclusion, dystonic patients (n = 16) were older (p = 0.007) than nondystonic patients. Moreover, patients (n = 18) with dystonia or chorea, or both, had earlier disease onset (p = 0.042) and more severe neurologic impairment (p = 0.012), but this did not correlate with genotype. All patients presented with hypotonia, which was characterized as moderate or severe in 16/28. Patients with dystonia or chorea (n = 18) had more pronounced hypotonia (p = 0.011). Bradykinesia (n = 16) was associated with an early age at assessment (p < 0.01). Significant dysarthria was diagnosed in 11/25 cases. A history of acute neurologic deterioration and further regression of motor function, typically after a stressful event, was reported in 7 patients.Conclusions Despite the relatively limited number of patients and the cross-sectional nature of the study, this detailed categorization of movement disorders in patients with AHC offers valuable insight into their precise characterization. Further longitudinal studies on this topic are needed.AHC=alternating hemiplegia of childhood; DI=disability index; IQR=interquartile range; NPMD=nonparoxysmal movement disorder