Diagnostic pitfalls in Parkinson's disease: case report.

Diagnostic pitfalls in Parkinson's disease: case report. Research Abstract Details 

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Diagnostic pitfalls in Parkinson's disease: case report. Abstract Text:

Sekeff-Sallem,Egberto Reis Barbosa,

Parkinson's disease (PD) is characterized by resting tremor, rigidity and bradykinesia. In 80% of cases, the disorder begins with upper limb resting tremor. However, there are some presenting atypical features that make the diagnosis even more difficult and intriguing. The disorder can have its onset below 40 years old, characterizing early-onset parkinsonism, which differential diagnosis possibilities are varied. Atypical presentations include a pure akinetic-rigid syndrome, the initial manifestations occurring in the lower limbs, and pain as the most important or sole manifestation. These atypical features are unusual, but can be seen in clinical practice. We present a 37 years old woman with early-onset parkinsonism beginning with an akinetic-rigid syndrome in the lower limbs whose first symptom was left leg pain, which diagnosis was made after 4 years of onset and after 16 referrals to several experts in different fields. We discuss these atypical features and the diagnostic pitfalls in PD.

Diagnostic pitfalls in Parkinson's disease: case report. Publishing Authors By Initials

FA Sekeff-Sallem,ER Barbosa,

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Diagnostic pitfalls in Parkinson's disease: case report. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Arquivos de neuro-psiquiatria

VOLUME: 65

Page Numbers: 348-51

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ISSN: 0004-282X

DAY: 3

MONTH: Jun

YEAR: 2007

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LANGUAGE: eng

NlmUniqueID: 125444

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AFFILIATION: Divisão de Neurologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil. fass_1998@yahoo.com

Country: Brazil

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MEDLINETA: Arq Neuropsiquiatr

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