Background: A 48-year-old man with a 9-year history of Parkinson's disease who had previously shown a good response to levodopa presented for evaluation of increasingly disabling motor fluctuations and marked camptocormia. Investigations: Video-recorded neurological examinations when in 'off' and 'on' states, brain MRI scan. Diagnosis: Advanced Parkinson's disease complicated by levodopa-responsive camptocormia. Management: Adjustment of dopaminergic therapy (carbidopa-levodopa and entacapone) to minimize motor fluctuations and camptocormia.
ASJC Scopus subject areas
- Clinical Neurology
- Cellular and Molecular Neuroscience