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Posttraumatic akinetic‐rigid syndrome resembling Parkinson's disease: A report on three patients
Author(s) -
Bhatt Mohit,
Desai Joy,
Mankodi Ami,
Elias Mikhail,
Wadia Noshir
Publication year - 2000
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/1531-8257(200003)15:2<313::aid-mds1017>3.0.co;2-p
Subject(s) - substantia nigra , levodopa , magnetic resonance imaging , medicine , disease , parkinson's disease , head trauma , akinetic mutism , central nervous system disease , psychology , anesthesia , surgery , pathology , radiology
We describe three patients who developed a rapidly evolving posttraumatic akinetic‐rigid syndrome (ARS), the clinical manifestations of which were similar to Parkinson's disease, including response to levodopa. Despite initial imaging studies showing traumatic damage to the substantia nigra, the ARS appeared after a delay of 1–5 months after the injury. We stress the importance of magnetic resonance imaging to illustrate nigral damage in all patients in whom head trauma precedes an ARS.