Levodopa-responsive retrocollis on the background of choreic dyskinesia.
Int J Neurosci
; 130(5): 461-463, 2020 May.
Article
en En
| MEDLINE
| ID: mdl-31714814
ABSTRACT
Purpose/aim:
Retrocollis can substantially disturb the daily living of individuals with Parkinson's disease (PD). Clinician often encounter the difficulty in managing the retrocollis. Materials andMethods:
We describe a patient with PD who presented with choreic dyskinesia and levodopa-responsive retrocollis.Results:
The patient had dyskinesia and the off periods, and received levodopa (700 mg, 14 times/day). The patient received levodopa-carbidopa intestinal gel (LCIG) treatment. After several months, the patient complained of difficulty in swallowing and speech due to severe retrocollis. Thirty minutes following a fast levodopa infusion of LCIG, the retrocollis improved. As a result, a frontal view was obtained, and her talking abilities showed improvement.Conclusions:
Severe retrocollis can be superimposed on choreic dyskinesia, and it was likely to increase during the off periods. Duodenal levodopa infusion may reduce the severity of retrocollis.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedad de Parkinson
/
Tortícolis
/
Carbidopa
/
Levodopa
/
Corea
/
Antiparkinsonianos
Tipo de estudio:
Etiology_studies
Límite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Int J Neurosci
Año:
2020
Tipo del documento:
Article
País de afiliación:
Japón