In a case report published earlier this year, “A Case of Myoclonic Symptoms After Streptococcal Infection: Possible PANDAS Variant“, it was discussed how a 15 year old male experienced myoclonic (spasm like) symptoms in the shoulder and how the final diagnosis of PANDAS was made. This teen underwent the possible diagnoses of epilepsy and conversion disorder before it was determined he actually had PANDAS after having symptoms fully remit with antibiotics post strep infection.
Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal
Infections (PANDAS) is defined as exacerbation of obsessive-compulsive disorder
and/or tic disorder after streptococcal infections. New accumulating evidence
suggests that PANDAS have some variants such as infantile-onset type, adultonset
type, myoclonic type, and dystonic type. In this report, we present the case of
a fifteen-year-old adolescent who had myoclonic symptoms in the shoulders and
was first treated for epilepsy and later, for conversion disorder until the diagnosis of
PANDAS was established.