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Pisa syndrome as a motor complication of Parkinson's disease
Joong-Seok Kim1, Jeong-Wook Park, Sung-Woo Chung
1Department of Neurology, The Catholic University of Korea, Republic of Korea.
Abstract:
We describe two elderly patients with a convincing clinical diagnosis of Parkinson's disease (PD) who developed axial end-of-dose/off dystonia, also referred to as Pisa syndrome (PS). The worsening of symptoms in the "off" period, and a favorable response of the dystonia to an increase of levodopa suggests that PS in our patients may be primarily related to a manifestation of motor fluctuations in PD.
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