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