Movement Disorders (revue)

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Long lasting pure freezing of gait preceding progressive supranuclear palsy: a clinicopathological study.

Identifieur interne : 001E23 ( Ncbi/Curation ); précédent : 001E22; suivant : 001E24

Long lasting pure freezing of gait preceding progressive supranuclear palsy: a clinicopathological study.

Auteurs : Yaroslau Compta [Espagne] ; Francesc Valldeoriola ; Eduardo Tolosa ; María Jesús Rey ; María José Martí ; Josep Valls-Solé

Source :

RBID : pubmed:17724746

English descriptors

Abstract

Primary progressive freezing of gait (PPFG) is the term used to designate an uncommon condition featuring freezing of gait with frequent falls, without bradykinesia, rigidity or tremor, and unresponsive to levodopa. There are very few pathological reports of patients with PPFG in the literature. We report on 2 patients (one with pathological confirmation) diagnosed initially as PPFG and evolving into clinically defined progressive supranuclear palsy (PSP) more than 10 years after onset of symptoms. These 2 cases suggest that PPFG can represent the initial manifestation of a neurodegenerative disease, such as PSP, rather than a differentiated nosological entity.

DOI: 10.1002/mds.21612
PubMed: 17724746

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pubmed:17724746

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<term>Accidental Falls</term>
<term>Aged</term>
<term>Astrocytes (pathology)</term>
<term>Brain (pathology)</term>
<term>Diagnosis, Differential</term>
<term>Disease Progression</term>
<term>Dopamine Plasma Membrane Transport Proteins (physiology)</term>
<term>Female</term>
<term>Gait Disorders, Neurologic (diagnosis)</term>
<term>Gait Disorders, Neurologic (pathology)</term>
<term>Humans</term>
<term>Inclusion Bodies (pathology)</term>
<term>Iodine Radioisotopes (diagnostic use)</term>
<term>Magnetic Resonance Imaging</term>
<term>Neurofibrillary Tangles (pathology)</term>
<term>Neurologic Examination</term>
<term>Neuropil (pathology)</term>
<term>Nortropanes (diagnostic use)</term>
<term>Oligodendroglia (pathology)</term>
<term>Supranuclear Palsy, Progressive (diagnosis)</term>
<term>Supranuclear Palsy, Progressive (pathology)</term>
<term>Tauopathies (diagnosis)</term>
<term>Tauopathies (pathology)</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
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<term>Supranuclear Palsy, Progressive</term>
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<term>Brain</term>
<term>Gait Disorders, Neurologic</term>
<term>Inclusion Bodies</term>
<term>Neurofibrillary Tangles</term>
<term>Neuropil</term>
<term>Oligodendroglia</term>
<term>Supranuclear Palsy, Progressive</term>
<term>Tauopathies</term>
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<term>Diagnosis, Differential</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Neurologic Examination</term>
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<div type="abstract" xml:lang="en">Primary progressive freezing of gait (PPFG) is the term used to designate an uncommon condition featuring freezing of gait with frequent falls, without bradykinesia, rigidity or tremor, and unresponsive to levodopa. There are very few pathological reports of patients with PPFG in the literature. We report on 2 patients (one with pathological confirmation) diagnosed initially as PPFG and evolving into clinically defined progressive supranuclear palsy (PSP) more than 10 years after onset of symptoms. These 2 cases suggest that PPFG can represent the initial manifestation of a neurodegenerative disease, such as PSP, rather than a differentiated nosological entity.</div>
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