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Over 10 years of isolated autonomic failure preceding dementia and Parkinsonism in 2 patients with Lewy body disease

✍ Scribed by Yoshitaka Yamanaka; Masato Asahina; Akiyuki Hiraga; Ryuji Sakakibara; Hisayoshi Oka; Takamichi Hattori

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
88 KB
Volume
22
Category
Article
ISSN
0885-3185

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✦ Synopsis

Sucking and swallowing movements sometimes accompanied by pouting have also been observed, and together, these movements have been termed oral automatisms. 3,9 The spectrum of involuntary, patterned movement encountered in LIS also includes movements that appear emotionally charged, including movements accompanied by vocalization. Grunting, groaning, sighing, yawning, moaning, crying, and the pain reaction are all described. 3,9 The presence of these movements would suggest spontaneous activity within the motor component of the emotional motor system thought to reside between the midbrain periaqueductal gray matter and interneurons in the caudal medulla. 10 We believe that the locked-in state and development of symptomatic palatal tremor is particularly well illustrated by this case.

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