Late Onset Neurodegeneration with Brain-Iron Accumulation Presenting as ParkinsonismReport as inadecuate




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Case Reports in Neurological MedicineVolume 2012 2012, Article ID 387095, 3 pages

Case ReportDepartment of Neurology, New York Medical College, Munger Pavilion, 4th Floor, 40 Sunshine Cottage Road, Valhalla, NY 10595, USA

Received 19 November 2012; Accepted 7 December 2012

Academic Editors: Ö. Ateş, S. T. Gontkovsky, V. Rajajee, P. Sandroni, M. Swash, and Y. Wakabayashi

Copyright © 2012 Robert Fekete. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Neurodegeneration with brain-iron accumulation NBIA encompasses a family of neurodegenerative disorders connected by evidence of abnormal brain iron deposition. Advances in imaging and genetic testing expanded the clinical spectrum of these disorders. Here, a case of parkinsonism and dystonia with orofacial stereotypies is presented. While the patient was initially diagnosed with Parkinson’s disease and placed on levodopa therapy, dopamine transporter imaging via 123I-FP-CIT SPECT DaTSCAN was normal. MRI brain showed “eye of the tiger” sign on T2 weighted imaging. NBIA should be considered in the differential diagnosis of atypical parkinsonism.





Author: Robert Fekete

Source: https://www.hindawi.com/



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