We herein report the case of a 84-year-old man with a 4-year history of freezing of gait (FOG) consistent with the diagnosis of primary progressive freezing gait. Single photon emission tomography (SPECT) with a radiolabeled ligand of the dopamine transporter (DAT-SPECT) showed integrity of striatal dopaminergic terminals, whereas brain perfusion SPECT disclosed multiple areas of decreased perfusion in frontal and parietal lobes, as well as in the subcortical gray nuclei of both sides. Treatment with the new irreversible monoamine oxidase B inhibitor rasagiline at standard doses resulted in a rapid, dramatic, and sustained improvement of the frequency and duration of FOG episodes. In addition, brain perfusion SPECT after treatment showed a marked increase of the activity in all cortical areas as well as in the basal ganglia and thalamus. Rasagiline may prove to be an effective and safe treatment for this disabling condition. (C) 2007 Movement Disorder Society.
机构:
Flinders Med Ctr, Dept Neurol, Comprehens Movement Disorder Serv, Bedford Pk, SA 5042, Australia
St Andrews Mem Hosp, Brisbane, Qld, AustraliaFlinders Med Ctr, Dept Neurol, Comprehens Movement Disorder Serv, Bedford Pk, SA 5042, Australia
Wilcox, Robert A.
Cole, Michael H.
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机构:
Queensland Univ Technol, Inst Hlth & Biomed Innovat, Movement Neurosci Program, Brisbane, Qld 4001, AustraliaFlinders Med Ctr, Dept Neurol, Comprehens Movement Disorder Serv, Bedford Pk, SA 5042, Australia
Cole, Michael H.
Wong, David
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机构:
Wesley Hosp, Wesley PET Ctr, Brisbane, Qld, AustraliaFlinders Med Ctr, Dept Neurol, Comprehens Movement Disorder Serv, Bedford Pk, SA 5042, Australia
Wong, David
Coyne, Terry
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机构:
St Andrews Mem Hosp, Brisbane, Qld, AustraliaFlinders Med Ctr, Dept Neurol, Comprehens Movement Disorder Serv, Bedford Pk, SA 5042, Australia
Coyne, Terry
Silburn, Peter
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机构:
Univ Queensland, Clin Res Ctr, Royal Brisbane & Womens Hosp, Brisbane, Qld, AustraliaFlinders Med Ctr, Dept Neurol, Comprehens Movement Disorder Serv, Bedford Pk, SA 5042, Australia
Silburn, Peter
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机构:
Kerr, Graham
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY,
2011,
82
(11):
: 1256
-
1259