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Asymmetrical awake bruxism associated with multiple system atrophy

✍ Scribed by Gurusidheshwar M. Wali

Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
603 KB
Volume
19
Category
Article
ISSN
0885-3185

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✦ Synopsis

Abstract

We describe a 51‐year‐old man who developed awake bruxism during the course of multiple system atrophy. Electromyographic studies revealed side‐to‐side amplitude asymmetry of the bursts of motor activity. The bruxism responded favourably to low‐dose levodopa–carbidopa therapy. Possible mechanisms of this rare association are discussed. © 2003 Movement Disorder Society

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I read with interest the letter concerning Parkinsonism related to neurosyphilis by Spitz et al. 1 However, their proposal that neurosyphilis may cause Parkinsonism, is, at best, contentious, and is more likely to represent a spurious association. The usual approach required to establish causation