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Published on: February 24, 2023
Mycoplasma pneumoniae associated opsoclonus-myoclonus syndrome in three cases
Benedikt Maria Huber1, Susi Strozzi, Maja Steinlin
1Department of Pediatrics, University Hospital, Inselspital, Bern, Switzerland.
Abstract:
Opsoclonus-myoclonus syndrome (OMS) is a rare acquired movement disorder occurring in all age groups, predominantly in infants. Although the exact pathogenesis is still undefined, there is strong evidence for a paraneoplastic or parainfectious immune process resulting in central nervous system dysfunction. Mycoplasma pneumoniae has been implicated in a number of immune-mediated neurologic diseases [28]. However, the association of M. pneumoniae and opsoclonus-myoclonus-ataxia syndrome is not well established so far. We present three cases with opsoclonus-myoclonus-ataxia syndrome in adolescents following an infection with M. pneumoniae. Monophasic disease course and full recovery correspond to the favorable prognosis known from parainfectious cases in young adults. This should affect therapeutic consideration. OMS should be added to the spectrum of M. pneumoniae-associated neurologic complications. Nevertheless, neuroblastoma has to be ruled out in all cases of OMS.
Insights
Opsoclonus-myoclonus syndrome (OMS) is a rare neurological disorder. This study links Mycoplasma pneumoniae infection to OMS in adolescents, suggesting it should be recognized as a potential cause.
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- Opsoclonus-myoclonus syndrome (OMS) is a rare movement disorder with unclear pathogenesis, often linked to paraneoplastic or parainfectious immune responses.
- Mycoplasma pneumoniae is a known pathogen implicated in various immune-mediated neurological conditions.
- The specific association between Mycoplasma pneumoniae and opsoclonus-myoclonus-ataxia syndrome remains poorly established.
Observation:
- This study presents three adolescent cases of opsoclonus-myoclonus-ataxia syndrome.
- All three cases occurred following an infection with Mycoplasma pneumoniae.
- The patients experienced a monophasic disease course with full recovery.
Findings:
- The findings establish a link between Mycoplasma pneumoniae infection and opsoclonus-myoclonus-ataxia syndrome in adolescents.
- The observed favorable prognosis and full recovery align with parainfectious cases in young adults.
- This association suggests that Mycoplasma pneumoniae should be considered within the spectrum of neurological complications.
Implications:
- The established association necessitates considering Mycoplasma pneumoniae as a potential trigger for OMS.
- The favorable prognosis in these cases may influence therapeutic strategies for OMS.
- It remains crucial to rule out neuroblastoma in all patients diagnosed with OMS, regardless of potential infectious triggers.
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