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Shozo Kito, MD; Eiko Itoga, MD; Yukio Hiroshige, MD; Noboru Matsumoto, MD; Shiro Miwa, MD

Arch Neurol. 1980;37(8):514-517.

Abstract
• Several pedigrees of which some members showed a clinical syndrome consisting of mental changes, choreatic involuntary movements, limb muscle atrophy, and acanthocytosis have been reported in the United States and the United Kingdom. Such a case and some of the family members who had such abnormalities as acanthocytosis, hypoβ-lipoproteinemia, convulsions, and confusion was observed. Results of biochemical analysis of catecholamines and their metabolites in CSF and urine showed an elevated value of norepinephrine in CSF and increased urinary secretion of DOPAC. The authors propose to designate this syndrome as amyotrophic chorea with acanthocytosis.

Author Affiliations
From the Third Department of Internal Medicine (Drs Kito and Itoga), Hiroshima University School of Medicine, Hiroshima, Japan, and the Third Department of Internal Medicine (Drs Hiroshige, Matsumoto, and Miwa), Yamaguchi University School of Medicine, Ube, Japan.

Footnotes
Accepted for publication Sept 15, 1979.

Reprint requests to Third Department of Internal Medicine, Hiroshima University School of Medicine, 1-2-3 Kasumi, Hiroshima 734, Japan (Dr Kito).

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