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Purposeless Groaning in Parkinson's Disease
Shen-Yang Lim1,2, Ai Huey Tan1,2, Jia Lun Lim2,3
1Division of Neurology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Abstract:
Purposeless groaning has been reported in advanced progressive supranuclear palsy. We present a case of purposeless groaning occurring as a primary complaint in a patient with advanced Parkinson's disease. Purposeless groaning is thought to be a manifestation of disinhibition and perseveration due to frontal-subcortical dysfunction. Proper recognition of this phenomenon will help clinicians to avoid unnecessary investigations and treatment (e.g., prescription of opioid medications).
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