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Pisa syndrome without neuroleptic exposure in a patient with Parkinson's disease: Case report
Author(s) -
Gambarin Mattia,
Antonini Angelo,
Moretto Giuseppe,
Bovi Paolo,
Romito Silvia,
Fiaschi Antonio,
Tinazzi Michele
Publication year - 2006
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.20711
Subject(s) - pramipexole , levodopa , dopaminergic , parkinson's disease , medicine , dopamine agonist , dopamine , anesthesia , trunk , dopamine transporter , abnormality , carbidopa , psychology , disease , psychiatry , ecology , biology
We report on a patient affected by Parkinson's disease who developed over a period of a few weeks a tonic deviation of her head, neck, and trunk fitting the typical description of Pisa syndrome (PS). This patient was under stable levodopa and pramipexole treatment and had never been exposed to any psychotropic or antiemetic drugs before or at the time she developed the postural abnormality. Because dopamine transporter imaging revealed bilateral and symmetrical reduction of striatal uptake, we suggest that PS is not primarily related to side differences in dopaminergic denervation or drug exposure. © 2005 Movement Disorder Society