Ten steps to identify atypical parkinsonism

Background: Balance impairment is a frequently encountered problem in patients with Parkinson’s disease. A profound balance disorder, however, is an atypical feature. Methods: Tandem gait performance (10 consecutive tandem steps) was judged in 36 consecutive patients with Parkinson’s disease and 49...

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Bibliographic Details
Published in:Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2006-12, Vol.77 (12), p.1367-1369
Main Authors: Abdo, W F, Borm, G F, Munneke, M, Verbeek, M M, Esselink, R A J, Bloem, B R
Format: Article
Language:English
Subjects:
Age
Aged
Binomial distribution
Diagnosis, Differential
Diagnostic tests
Dopamine
Female
Gait
Gait Disorders, Neurologic - etiology
Humans
Magnetic resonance imaging
Male
Middle Aged
Movement disorders
MRI
Orthopedic apparatus
Parkinson Disease - complications
Parkinson Disease - diagnosis
Parkinson's disease
Parkinsonian Disorders - complications
Parkinsonian Disorders - diagnosis
PIGD
Postural Balance
postural instability and gait disability
progressive supranuclear palsy
Prospective Studies
PSP
Sensitivity and Specificity
Short Report
single photon emission computed tomography
SPECT
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Summary:Background: Balance impairment is a frequently encountered problem in patients with Parkinson’s disease. A profound balance disorder, however, is an atypical feature. Methods: Tandem gait performance (10 consecutive tandem steps) was judged in 36 consecutive patients with Parkinson’s disease and 49 consecutive patients with atypical parkinsonism. Results: Only 9 (18%) patients with atypical parkinsonism had a fully normal tandem gait (not a single side step) as opposed to 33 (92%) patients with Parkinson’s disease. Analysis for the subgroup of patients with a disease duration of
ISSN:0022-3050
1468-330X
DOI:10.1136/jnnp.2006.091322