Two men with Parkinson disease for approximately a decade complained of involuntary arm elevation developing during the off periods between levodopa dose cycles (videos 1 and 2 on the Neurology (R) Web site at Neurology.org; figure). Treatment with tolcapone and subthalamic deep brain stimulation implantation, respectively, reduced off time and eliminated this previously unreported motor complication.(1) Atypical levodopa-related dystonic complications may develop late in those with relatively younger-onset Parkinson disease.(2) The flamenco dancer posture, with shoulder abduction and elbow flexion, developed in the initially affected hemibody. The importance of recognizing this unusual off dystonia rests on the corrective benefits attained by enhancing dopaminergic or electric stimulation.
Flamenco dancer posture Unique "off" complication in Parkinson disease
Fasano A;
2016-01-01
Abstract
Two men with Parkinson disease for approximately a decade complained of involuntary arm elevation developing during the off periods between levodopa dose cycles (videos 1 and 2 on the Neurology (R) Web site at Neurology.org; figure). Treatment with tolcapone and subthalamic deep brain stimulation implantation, respectively, reduced off time and eliminated this previously unreported motor complication.(1) Atypical levodopa-related dystonic complications may develop late in those with relatively younger-onset Parkinson disease.(2) The flamenco dancer posture, with shoulder abduction and elbow flexion, developed in the initially affected hemibody. The importance of recognizing this unusual off dystonia rests on the corrective benefits attained by enhancing dopaminergic or electric stimulation.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
