Pisa syndrome as a motor complication of Parkinson's disease.
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.
Kim
Joong-Seok
JS
Department of Neurology, The Catholic University of Korea, Republic of Korea.
Park
Jeong-Wook
JW
Chung
Sung-Woo
SW
Kim
Yeong-In
YI
Kim
Hee-Tae
HT
Lee
Kwang-Soo
KS
D000368:Aged; D004421:Dystonia / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000150:complications*