Paroxysmal exercise-induced dyskinesia (PEID)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Paroxysmal exercise-induced dyskinesia (PEID). This is usually caused by mutations in the SLC2A1 (GLUT1) gene. Fully referenced neurology checklist.

Genetics

  • This is usually caused by mutations in the SLC2A1 (GLUT1) gene
  • The gene encodes the glucose transporter
  • Some cases car caused by mutations in the ECHS1 gene
  • The mutations may also be sporadic

Features of dyskinesia

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Triggers for attacks

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Relieving factors

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Possible associated symptoms

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Possible associated diseases

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Differential diagnosis: other paroxysmal exercise induced dyskinesias

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Investigations

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Treatment

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References

  1. Bhattacharyya KB, Basu S, Ray AD, Bhattacharya S. Sporadic paroxysmal exercise induced dystonia: report of a case and review of the literature. Neurol India 2000; 48:401-402.
  2. Unterberger I, Trinka E. Diagnosis and treatment of paroxysmal dyskinesia revisited. Ther Adv Neurol Disord 2008; 1:67-74.
  3. Dale RC, Melchers A, Fung VSC, Grattan-Smith P, Houlden H, Earl J. Familial paroxysmal exercise-induced dystonia: atypical presentation of autosomal dominant GTP-cyclohydrolase 1 deficiency. Dev Med Child Neurol 2010; 52:583-586.
  4. Albanese A, Asmus F, Bhatia KP, et al. EFNS guidelines on diagnosis and treatment of primary dystonias. Eur J Neurol 2011; 18:5-18.
  5. Olgiati S, Skorvanek M, Quadri M, et al. Paroxysmal exercise-induced dystonia within the phenotypic spectrum of ECHS1 deficiency. Mov Disord 2016; 31:1041-1048. 
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