Levodopa-responsive retrocollis on the background of choreic dyskinesia.
Int J Neurosci
; 130(5): 461-463, 2020 May.
Article
em 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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença de Parkinson
/
Torcicolo
/
Carbidopa
/
Levodopa
/
Coreia
/
Antiparkinsonianos
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Revista:
Int J Neurosci
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Japão