This chapter describes the phenotypic and clinical features of an atypical parkinsonian syndrome endemic to the Caribbean island of Guadeloupe. The clinical entity was much more frequent than idiopathic Parkinson’s disease. It corresponded to a unique combination of levodopa-resistant parkinsonism, tremor, myoclonus, hallucinations, REM sleep behavior disorder and fronto-subcortical dementia. Epidemiological and experimental studies suggested that the neurological syndrome resulted from chronic intoxication by a mitochondrial complex I inhibitor, the plant toxin annonacin.
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Lannuzel, A., Michel, P.P. (2009). Atypical Parkinsonism in the French West Indies: The Plant Toxin Annonacin as a Potential Etiological Factor. In: Tseng, KY. (eds) Cortico-Subcortical Dynamics in Parkinson's Disease. Contemporary Neuroscience. Humana Press. https://doi.org/10.1007/978-1-60327-252-0_18
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