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Hemiparkinsonism and levodopa‐induced dyskinesias after focal nigral lesion
Author(s) -
Růžička Evžen,
Urgošík Dušan,
Jech Robert,
Roth Jan,
Vymazal Josef,
Mečíř Petr,
Vladyka Vilibald
Publication year - 2005
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/mds.20453
Subject(s) - parkinsonism , thalamotomy , levodopa , substantia nigra , lesion , medicine , dopaminergic , stereotactic surgery , extinction (optical mineralogy) , nigrostriatal pathway , movement disorders , parkinson's disease , dyskinesia , neuroscience , psychology , surgery , dopamine , disease , deep brain stimulation , pathology , physics , optics
We present a patient with tremor‐dominant hemiparkinsonism after a focal lesion to the substantia nigra. An excellent response to levodopa was complicated by rapid development of motor fluctuations and disabling dyskinesias. Stereotactic thalamotomy resulted in a persistent extinction of parkinsonism and of dyskinesias along with stopping dopaminergic treatment. © 2005 Movement Disorder Society