To the Editor.—
Diphasic dyskinesia1-3 and early-morning dystonia4 in parkinsonian patients have been reported separately. Here we describe a parkinsonian patient with both early-morning dystonia and diphasic dyskinesia.
Report of a Case. —
A 44-year-old woman, in the spring of 1979, began to have a tremor of her left hand and began to feel stiffness of her left arm in the autumn and winter of the same year in activities such as dressing. Tremor of the hand was intensified with the stiffness, so that buttoning a coat became difficult. Her left leg also became involved, which rendered it difficult to put on or take off slippers and shoes. She came to the Neurology Clinic of Showa University Fujigaoka Hospital on May 16, 1980.On examination, she had slightly oily and masked facies and decreased blinking. Muscle stretch reflexes of the limbs were slightly diminished. Cogwheel rigidity was observed
Wakayama Y, Nakashima Y, Tanaka K, Mano Y, Ando K. Parkinson's Disease With Diphasic Dyskinesia and Early-Morning Dystonia. Arch Neurol. 1982;39(8):531. doi:10.1001/archneur.1982.00510200073020
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