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Dopamine Transporter Imaging in Psychogenic Parkinsonism and Neurodegenerative Parkinsonism with Psychogenic Overlay: A Report of Three Cases

BACKGROUND: Differentiating psychogenic parkinsonism from neurodegenerative Parkinson's disease (PD) with psychogenic features is a diagnostic challenge. CASE REPORT: We report a detailed longitudinal clinical description of three cases presenting with suspected psychogenic parkinsonism. Dopami...

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Detalles Bibliográficos
Autores principales: Umeh, Chizoba C., Szabo, Zsolt, Pontone, Gregory M., Mari, Zoltan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3777435/
https://www.ncbi.nlm.nih.gov/pubmed/24137554
Descripción
Sumario:BACKGROUND: Differentiating psychogenic parkinsonism from neurodegenerative Parkinson's disease (PD) with psychogenic features is a diagnostic challenge. CASE REPORT: We report a detailed longitudinal clinical description of three cases presenting with suspected psychogenic parkinsonism. Dopamine transporter single-photon emission computed tomography (DAT-SPECT) was used as a supplemental diagnostic study and influenced clinical management. DISCUSSION: DAT-SPECT quantified the integrity of the striatal dopaminergic system in these cases of clinically uncertain parkinsonism and supported clinical decision-making.