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Morvan chorea and agrypnia excitata: when video-polysomnographic recording guides the diagnosis
Federica Provini1, Sara Marconi, Marcello Amadori
1Department of Neurological Sciences, University of Bologna, Bologna, Italy. federica.provini@unibo.it
Introduction:
Morvan chorea is an antibody-mediated limbic encephalopathy characterized by severe insomnia, mental confusion, hallucinations, enacted dreams, hyperhidrosis, and neuromyotonia.
Case Description:
In a 78 years old man presenting with progressive insomnia apathy and depression, a video-polysomnogram documented enacted dreams mimicking daily life activity (oneiric stupor). This finding led us to perform a search for serum antibodies to voltage-gated K+ channels, which was positive. A diagnosis of Morvan chorea was done. The patient underwent plasma exchange with complete resolution of the clinical picture.
Conclusions:
Oneiric stupor may represent a useful precocious diagnostic marker in Morvan chorea.
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