title: Multiple system atrophy presenting initially as spastic paraparesis.
authors.affiliation: Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Tsuyusaki
authors.affiliation: Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan. Electronic address: sakakibara@sakura.med.toho-u.ac.jp.
authors.forename: Ryuji
authors.initials: R
authors.lastname: Sakakibara
authors.affiliation: Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Fuyuki
authors.initials: F
authors.lastname: Tateno
authors.affiliation: Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Aiba
authors.affiliation: Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kishi
authors.affiliation: Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Hiromi
authors.initials: H
authors.lastname: Tateno
authors.affiliation: Neurology, Internal Medicine, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Ogata
authors.affiliation: Radiology, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Inaoka
authors.affiliation: Radiology, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Terada
authors.affiliation: Gatroenterology, Sakura Medical Center, Toho University, Sakura, Japan.
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Suzuki
mesh_terms: D000368:Aged; D001921:Brain / Q000473:pathology; D002524:Cerebellar Ataxia / Q000209:etiology / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019578:Multiple System Atrophy / Q000150:complications* / Q000473:pathology; D020336:Paraparesis, Spastic / Q000209:etiology* / Q000473:pathology; D013116:Spinal Cord / Q000473:pathology
keywords: Multiple system atrophy; Pyramidal sign; Spastic paraparesis; Sphincter electromyography