Ben-Pazi Hilla, Livne Amir, Shapira Yehuda, Dale Russell C
Pediatric Department, Hadassah University Hospital, Ein-Kerem, POB 12000, Jerusalem 91120, Israel.
J Pediatr. 2003 Aug;143(2):267-9. doi: 10.1067/S0022-3476(03)00366-4.
Bradykinesia and rigidity developed in a 10-year-old girl during an episode of Sydenham chorea. These parkinsonian features improved over 6 months. Serum analysis demonstrated elevated anti-streptolysin-O and anti-basal ganglia antibodies. We suggest that autoimmune antibodies may cause remitting parkinsonian signs subsequent to streptococcal tonsillitis as part of the spectrum of poststreptococcal CNS disease.