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Neurological Sciences

, Volume 31, Issue 6, pp 751–756 | Cite as

Protracted benefit from paradoxical kinesia in typical and atypical parkinsonisms

  • L. Bonanni
  • A. Thomas
  • F. Anzellotti
  • D. Monaco
  • F. Ciccocioppo
  • S. Varanese
  • S. Bifolchetti
  • M. C. D’Amico
  • A. Di Iorio
  • M. Onofrj
Original Article

Abstract

Paradoxical kinesia (PK) is the sudden resolution of a previously stabilized akinesia in an advanced idiopathic Parkinson’s disease (IPD) patient facing an immediate threat. We are reporting the effect of PK, as a consequence of a life threatening event (earthquake), in a group of 14 patients with parkinsonism and dementia in Hoehn/Yahr (H/Y) stage 3–5. All the patients presented an extraordinary motor response during the earthquake that has recently stricken the Italian city of L’Aquila. All of them were able to safely escape unaided and, in some cases, to assist their families, despite they suffered before from severe night time akinesia and gait difficulties with postural instability requiring assistance. In five patients, the improvement of motor disabilities, particularly of freezing, lasted for 2–5 months.

Keywords

Paradoxical kinesia Parkinson’s disease Freezing of gait 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • L. Bonanni
    • 1
    • 2
  • A. Thomas
    • 1
    • 2
  • F. Anzellotti
    • 1
    • 2
  • D. Monaco
    • 1
    • 2
  • F. Ciccocioppo
    • 1
    • 2
  • S. Varanese
    • 1
    • 2
  • S. Bifolchetti
    • 1
    • 2
  • M. C. D’Amico
    • 1
    • 2
  • A. Di Iorio
    • 3
  • M. Onofrj
    • 1
    • 2
  1. 1.Department of Neuroscience and ImagingUniversity G.D’Annunzio of Chieti-PescaraChieti-PescaraItaly
  2. 2.Department of Neuroscience and Imaging, Aging Research Center, Ce.S.I.”Gabriele d’ Annunzio” University FoundationChieti-PescaraItaly
  3. 3.Laboratory of Clinical Epidemiology, Geriatric Unit, Department of Medicine and AgingUniversity “G. d’Annunzio”Chieti-PescaraItaly

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