Clinical Features in Patients With PANDAS/PANS and Therapeutic Approaches: A Retrospective Study

Rea I, Guido CA, Spalice A. Clinical Features in Patients With PANDAS/PANS and Therapeutic Approaches: A Retrospective Study. Frontiers in Neurology. Vol. 12, 2021. DOI=10.3389/fneur.2021.741176  

  • 62 patients with a clinical diagnosis of PANDAS/PANS.
    • 15 with PANS. 47 with PANDAS
  • Mean age at onset of PANDAS/PANS symptoms was 6.2 ± 1.2 years
    • 6.2 for PANDAS. 6.0 for PANS
  • Neurological and psychiatric symptoms were mostly evident in both groups with little difference
  • 93.5% had vocal tics
  • 79% had OCD
  • PANS kids had more irritability, aggressivity, and food restriction
  • PANDAS kids had 10 times higher levels of anti-streptolysin O and anti-DNAse B
  • PANS kid had a higher percentage of metabolic disorders
  • Psychotherapy significantly relieved OCD the most and reduced stress in patients and parents
  • Antibiotic prophylaxis was the most frequently used (90%) for acute neurological symptoms

 

 

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