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Levodopa-Nonresponsive Lewy Body Parkinsonism:Clinicopathologic Study of Two Cases
Neurol 42:1323-1327, Mark,M.H.,et al, 1992
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Article Abstract
We report two patients with a primarily akinetic form of parkinsonism who were nonresponsive to treatment with levodopa.At autopsy,both patients had many Lewy bodies in brainstem and diencephalic nuclei,with sparse Lewy bodies in association cortices and more numerous Lewy bodies in the limbic cortices,consistent with the transitional form of Lewy body disease.These cases emphasize that(1)Lewy body Parkinson's disease cannot be excluded on the basis of atypical presentation or levodopa nonresponsiveness,and(2)the clinicopathologic spectrum of Lewy body disease is varied.
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bradykinesia
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L-dopa
neuropathology
neuropathology,brain
Parkinson disease
Parkinson disease,akinetic form
Parkinson disease,diagnosis
Parkinson disease,heterogeneity of
Parkinson disease,L-dopa nonresponsive
sinemet
treatment of neurologic disorder
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