Primary lateral sclerosis plus parkinsonism: a case report

Bibliographic Details
Title: Primary lateral sclerosis plus parkinsonism: a case report
Authors: Abhaya Moturu, Wade Welch
Source: BMC Neurology, Vol 23, Iss 1, Pp 1-7 (2023)
Publisher Information: BMC, 2023.
Publication Year: 2023
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: Primary lateral sclerosis, Parkinsonism, Upper motor neuron symptoms, Pyramidal features, Extrapyramidal features, Neurology. Diseases of the nervous system, RC346-429
More Details: Abstract Background The standard of diagnosing primary lateral sclerosis, the Pringle criteria, requires three years of purely upper motor neuron symptom presentation before confirming diagnosis. This classic standard has been questioned on occasion due to its restrictive range of both time period and symptomatic exhibition. Case presentation This case report will review a 57-year-old Caucasian female who presented with pyramidal and extrapyramidal features suggestive of the exceedingly rare disease primary lateral sclerosis plus parkinsonism. We will describe the mixture of upper motor neuron signs and striking parkinsonian symptoms experienced by the patient, as well as the full diagnostic workup leading to her preliminary diagnosis. The details of this case will then be utilized to explore the diagnostic criteria of primary lateral sclerosis, as well as to work through the differential of conditions resembling Parkinson’s disease. Conclusions The current criteria to diagnose primary lateral sclerosis may be excluding patients with the disease and is an ongoing area of investigation. A thorough differential including other neurodegenerative conditions is necessary to consider and requires long-term follow-up.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2377
Relation: https://doaj.org/toc/1471-2377
DOI: 10.1186/s12883-023-03360-x
Access URL: https://doaj.org/article/d89f4c3671f74ce6a6ff5bba88d97393
Accession Number: edsdoj.89f4c3671f74ce6a6ff5bba88d97393
Database: Directory of Open Access Journals
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More Details
ISSN:14712377
DOI:10.1186/s12883-023-03360-x
Published in:BMC Neurology
Language:English