Manganism

Evidence-based neurology checklist on manganism: Pathology This results from manganese toxicity There is elevated manganese in the serum and cerebrospinal fluid (CSF) Genetic causes Acquired causes Manganese-associated disorders Clinical features: movement disorders Clinical features: others…

Pathology

  • This results from manganese toxicity
  • There is elevated manganese in the serum and cerebrospinal fluid (CSF)

Genetic causes

Acquired causes

Manganese-associated disorders

Clinical features: movement disorders

Clinical features: others

Differential diagnosis

Magnetic resonance imaging (MRI) brain: features

DaT scan

Treatment

References

  1. Budinger D, Barral S, Soo AKS, Kurian MA. The role of manganese dysregulation in neurological disease: emerging evidence. Lancet Neurol 2021; 20:956-968.
  2. Proudfoot O. Manganese in manganism, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, and Batten disease: A narrative review. Neurol India 2017; 65:1241-1247. 
  3. Ghosh R, Dubey S, Chatterjee S, Ghosh M, Ray BK, Benito-León J. Hypermanganesemia induced chorea and cognitive decline in a tea seller. Tremor Other Hyperkinet Mov (N Y) 2020; 10:45. 
  4. Kulshreshtha D, Ganguly J, Jog M. Manganese and movement disorders: a review. J Mov Disord 2021; 14:93-102.
  5. Alikunju M, Misiriyyah N, Sayeed Iqbal S, Khan M. Manganese neurotoxicity as a stroke mimic: a case report. Cureus 2023; 15:e37247.

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