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Hand, foot, and spine deformities in parkinsonian disorders

  • Neurology and Preclinical Neurological Studies - Review Article
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Journal of Neural Transmission Aims and scope Submit manuscript

Abstract

Hand and foot deformities, known as “striatal deformities”, and other musculoskeletal abnormalities such as dropped head, bent spine, camptocormia, scoliosis and Pisa syndrome, are poorly understood and often misdiagnosed features of Parkinson’s disease and other parkinsonian syndromes. These deformities share some similarities with known rheumatologic conditions and can be wrongly diagnosed as rheumatoid arthritis, osteoarthritis, psoriatic arthritis, Dupuytren’s contracture, trigger finger, or other rheumatologic or orthopedic conditions. Neurologists, rheumatologists, and other physicians must be familiar with these deformities to prevent misdiagnosis and unnecessary diagnostic tests, and to recommend appropriate treatment options.

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Acknowledgements

We would like to thank Dhanya Vijayakumar, MD for her contributions in preparing the images in this manuscript.

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Authors and Affiliations

  1. Department of Neurology, University of Texas Health, San Antonio, TX, USA

    Subhashie Wijemanne

  2. Parkinson’s Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 7200 Cambridge St, Suite #9A, Houston, TX, 77030, USA

    Joseph Jankovic

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  1. Subhashie Wijemanne
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Correspondence to Joseph Jankovic.

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Wijemanne, S., Jankovic, J. Hand, foot, and spine deformities in parkinsonian disorders. J Neural Transm 126, 253–264 (2019). https://doi.org/10.1007/s00702-019-01986-1

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