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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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No, or very slight, tremor, good L-dopa response, often early onsetAkinetic crisisInability to move, speak or swallowCogwheelingTremulous resistance to passive movementDrug holidayCessation of anti-Parkinsonian drugs (under inpatient observation)DyskinesiasChoreo-athetoid movements with L-dopa or dopaminergic drugsDystoniasDystonic hyperkinesias (on L-dopa), usually focal (perioral, blepharospasm)En bloc movementsMovement of whole body on turning head or trunkEnd-of-dose akinesiaAkinesia following interval from last medicationFacial dissociationMobile lower, with rigid upper faceFreezingSudden immobility (e.g. in doorway or traffic) independent of [,-dopa doseHyperkinesiasSudden overshooting movements (especially with L-dopa overdose)MaskRigid expressionless faceMicrographisDiminishing size of handwritingOculogyric crisesTonic fixing of gaze (usually upwards) in postencephalitic ParkinsonismOn-off phenomenonSwitch from normal or hyperkinetic mobility to akinesiaOsciHationsVariability of Parkinsonism, spontaneous diurnal, or from day-to-day, or after L-dopaPalilaliaRepetitive utterances (usually linked to monotony and feeble phonation)

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