Unsuccessful treatment with levodopa of a parkinsonian patient with calcification of the basal ganglia
✍ Scribed by K. Berendes; D. Dörstelmann
- Publisher
- Springer
- Year
- 1978
- Tongue
- English
- Weight
- 517 KB
- Volume
- 218
- Category
- Article
- ISSN
- 0340-5354
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✦ Synopsis
A patient aged 67 had suffered from hypoparathyroidism (tetany and cataracts) following thyroidectomy at the age of 20, although treated with AT 10. During the last few years there had been a change of gait to small steps and general retardation. Nocturnal epileptic attacks occurred in the last year which led to the admission to hospital where a well developed parkinsonian syndrome without tremor was observed. X-rays of the skull, including computed tomograms, revealed calcification of the basal ganglia and dentate nuclei. Treatment with levodopa was ineffective. The mechanism for this is discussed.
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An immunohistochemical study was carried out to investigate the topographic distribution of calbindin-D,,k in the human basal ganglia and substantia nigra and its alterations in patients with idiopathic Parkinson's disease (PD), parkinsonism-dementia complex on Guam, progressive supranuclear palsy,