Lower limb post-immobilization dystonia in Parkinson's disease

Carlos Singer, Spiridon Papapetropoulos

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Fixed dystonic posturing of the hands and feet may complicate advanced Parkinson's disease (PD) and add considerably to the functional disability of patients. We report 3 PD patients who developed lower limb fixed dystonic posturing after a brief period of immobilization (< 2 months). Two patients had been immobilized after hip and back injuries and one for transfusion therapy for anemia. This fixed dystonic posturing resulted in severe functional disability. Oral medications failed to control symptoms. Of two patients who received botulinum toxin injections only one experienced benefit. Orthopedic surgery resulted in clinical improvement with increased mobility and independence in one patient. Post-immobilization dystonia of lower limbs in PD is resistant to medical treatment and leads to significant functional disability. Botulinum toxin may provide partial relief in some cases and orthopedic surgery can also be considered.

Original languageEnglish (US)
Pages (from-to)111-114
Number of pages4
JournalJournal of the Neurological Sciences
Volume239
Issue number1
DOIs
StatePublished - Dec 15 2005

Keywords

  • Dystonia
  • Immobilization
  • Parkinson's disease

ASJC Scopus subject areas

  • Aging
  • Clinical Neurology
  • Surgery
  • Developmental Neuroscience
  • Neurology
  • Neuroscience(all)

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