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Idiopathic hemiparetic parkinsonism, a syndrome distinct from idiopathic parkinsonism
J De Keyser1, L Herroelen, M Vervaeck
1Department of Neurology, Academisch Ziekenhuis Vrije Universiteit, Brussels, Belgium.
Abstract:
Two women had a syndrome of progressive parkinsonism with ipsilateral rigidity, mild resting tremor, paresis, hyperreflexia, and an extensor plantar response. Symptoms had started 24 and 3 months after a surgical procedure in the affected limb. Neuroimaging studies were unhelpful. Both the parkinsonian features and the pyramidal tract signs responded well to dopaminergic drug treatment. We propose that the syndrome be called "idiopathic hemiparetic parkinsonism".
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