{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:46:36Z","timestamp":1777869996621,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T00:00:00Z","timestamp":1750204800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric movement disorders can be challenging to characterize, given the phenotypic complexity and broad differential diagnosis. While genetic tests are often part of the diagnostic work\u2010up, it is important to consider acquired causes, which may require specific investigations. Enterovirus A\u201071 (EV\u2010A71) associated rhombencephalitis frequently presents with movement disorders. We aim to improve the recognition of these phenotypes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Cases<\/jats:title>\n                    <jats:p>We describe four patients (aged 21\u2009months\u201312\u2009years) presenting with movement disorders and a confirmed EV\u2010A71 infection. All patients had myoclonus, one suffered from ataxia. Both focal arm flexion myoclonus and generalized myoclonus were observed. Polymyography demonstrated a subcortical origin. The movement disorders subsided with infection improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Recognition of EV\u2010A71 parainfectious movement disorders in childhood enables clinicians to obtain appropriate, cost\u2010effective diagnostics. When an EV\u2010A71 infection is suspected PCR\u2010diagnostics in stool and nasopharynx material is required. Neuroimaging and polymyography can support the diagnosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mdc3.70182","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T07:00:03Z","timestamp":1750230003000},"page":"1635-1639","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enterovirus A\u201071 Associated Parainfectious Movement Disorders in Children"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-6794-6894","authenticated-orcid":false,"given":"Suus A. M.","family":"van Noort","sequence":"first","affiliation":[{"name":"Department of Neurology University Medical Center Groningen, University of Groningen  Groningen The Netherlands"},{"name":"Expertise Center Movement Disorders University Medical Center Groningen, University of Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan Willem J.","family":"Elting","sequence":"additional","affiliation":[{"name":"Expertise Center Movement Disorders University Medical Center Groningen, University of Groningen  Groningen The Netherlands"},{"name":"Department of Clinical Neurophysiology University Medical Center Groningen, University of Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Foiadelli","sequence":"additional","affiliation":[{"name":"Pediatric Clinic, Fondazione IRCCS Policlinico San Matteo  Pavia Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petra J.J.S.","family":"Peters","sequence":"additional","affiliation":[{"name":"Department of Neurology Laurentius Ziekenhuis  Roermond The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joost","family":"Nicolai","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurology Maastricht University Medical Center, University of Maastricht  Maastricht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5783-571X","authenticated-orcid":false,"given":"Marina A.J.","family":"Tijssen","sequence":"additional","affiliation":[{"name":"Department of Neurology University Medical Center Groningen, University of Groningen  Groningen The Netherlands"},{"name":"Expertise Center Movement Disorders University Medical Center Groningen, University of Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jelte","family":"Helfferich","sequence":"additional","affiliation":[{"name":"Department of Neurology University Medical Center Groningen, University of Groningen  Groningen The Netherlands"},{"name":"Department of Pediatric Neurology University Medical Center Groningen, University of Groningen  Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12929-019-0573-2"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.00014"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(19)30632-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000003114"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ve\/veab071"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/practneurol-2020-002680"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(10)70209-X"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199909233411302"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2024.106988"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2006.05.009"}],"container-title":["Movement 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