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Levodopa Responsiveness in Adult-onset Lower Limb Dystonia is Associated with the Development of Parkinson’s Disease Cover

Levodopa Responsiveness in Adult-onset Lower Limb Dystonia is Associated with the Development of Parkinson’s Disease

Open Access
|Apr 2013

Figures & Tables

Table 1

Comparison of the Clinical Characteristics between the Two Groups

Developed Parkinsonism (n = 10)Did Not Develop Parkinsonism (n = 12)p Value
Leg dystonia with levodopa response7 (70%)2 (16%)0.02
Family history of Parkinson’s disease or tremor5 (50%)3 (25%)0.22
Type of dystonia (action/rest)7 (70%)/3 (30%)7 (58%)/5 (42%)0.57
Gender (F/M)9 (90%)/1 (10%)8 (66%)/4 (33%)0.19
Age of onset (years; range)49 (22–75)53 (31–71)0.59
Table 2

Summary of the Clinical Characteristics between the Two Groups

Developed Parkinsonism (n = 10)Did Not Develop Parkinsonism (n = 12)
Median follow-up period (years; range)2 (0.5–22)1 (0.5–9)
Median time from leg dystonia onset to Parkinsonism (years; range)1 (0.5–3)NA
Median effective levodopa dose (mg; range)600 (350–800)NA
Developed corticobasal syndrome20
Table 3

Data Collected From All Subjects

CaseDevelop PD (Time to Diagnosis)Develop Corticobasal Syndrome (Time to Diagnosis)Age OnsetTypeSexLevodopa Response (Dose per Day)Anticholinergic Response?Family History of PD or Tremor?Years of Follow-upResponse to Other Medications/Other
1NoNo59ActionFNo (75 mg)Not triedNo9
2NoNo55RestMNoNot triedNo3
3NoNo64ActionFNoNoNo5Responded to baclofen but not to clonazepam
4NoNo71RestFNo (1500 mg)NoNo1Responded to botulinum toxin A injection
5NoNo31ActionFNo (750 mg)Yes (12 mg)No0.5
6NoNo57RestFNo (300 mg)Not triedNo8Responded to pramipexole 1 mg/day, baclofen and botulinum toxin A injection
7NoNo63RestMNoNot triedYes1
8NoNo43ActionMNo (300 mg)Not triedNo0.5Long distance runner
9NoNo40ActionFYes (300 mg)Not triedNo2Long distance runner
10NoNo36ActionFNo (600 mg)Not triedNo2Long distance runner
11NoNo61ActionMNo (900 mg)Not triedYes1
12NoNo55RestFYes (750 mg)Not triedNo1Responded to ropinirole
13NoYes (8 years)37ActionFNo (750 mg)YesNo8
14NoYes (2 years)60RestFNoNot triedNo2Did not respond botulinum toxin A injection
15Yes (0.5 years later)No22RestFYes (800 mg)Not triedYes0.5
16Yes (0.5 years later)No51ActionMYes (750 mg)Not triedNo11Responded to botulinum toxin A injection
17Yes (1 year later)No73RestFYes (600 mg)Not triedYes2Responded to clonazepam, no benefit baclofen 30 mg
18Yes (1 year later)No41ActionFNot triedNot triedNo1
19Yes (2 years later)No75ActionFYes (300 mg)Not triedNo8
20Yes (2 years)No43ActionFYes (600 mg)Not triedYes1
21Yes (2 years)No45ActionFYes (500 mg)Yes (4 mg)Yes2Did not respond baclofen 60 mg
22Yes (3 years later)No43ActionFYes (750 mg)Not triedYes22Responded to pramipexole 3 mg

[i] Abbreviations: PD, Parkinson’s Disease.

DOI: https://doi.org/10.5334/tohm.136 | Journal eISSN: 2160-8288
Language: English
Submitted on: Dec 19, 2012
Accepted on: Feb 26, 2013
Published on: Apr 18, 2013
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2013 Florence C. F. Chang, Keith A. Josephs, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.