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Sporadic rapid-onset dystonia–parkinsonism presenting as Parkinson's disease

✍ Scribed by Daan J. Kamphuis; Hans Koelman; Andrew J. Lees; Marina A.J. Tijssen


Publisher
John Wiley and Sons
Year
2006
Tongue
English
Weight
46 KB
Volume
21
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

We report on a 38‐year‐old patient with rapid‐onset dystonia–parkinsonism (RDP) with a missense mutation in the Na/K‐ATPase α3 subunit (ATP1A3). Asymmetrical parkinsonian symptoms evolved over a year. After a stable episode of another 2.5 years, overnight he developed oromandibular dystonia and more severe parkinsonian symptoms. We conclude that RDP should be considered as a rare cause of levodopa‐unresponsive parkinsonism even if there is no family history and the classic presentation is lacking. © 2005 Movement Disorder Society


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