[Cortico-basal degeneration. Diagnosis and differentiation and the description of the first case in Poland]

Neurol Neurochir Pol. 1998 Nov-Dec;32(6):1523-31.
[Article in Polish]

Abstract

Idiopathic Parkinson Disease accounts for approximately 75% of all cases of parkinsonism. The described case of Corticobasal Degeneration (CBD), until now not presented in Polish medical literature is a relatively rare example of so-called "parkinson plus" syndrome. The authors present the case of a 56 years old woman with asymmetric onset of rigidity and atypical tremor of upper extremity followed by gait disturbances (gait apraxia), dysarthria, bilateral pyramidal signs and myoclonus. Complete lack of clinical improvement after treatment with L-dopa and progressive character were observed from the onset of the disease. The presented case seems to be helpful in differential diagnosis of parkinson plus syndromes and specially CBD, which seems to be difficult in the first stages of the disease. Although the case was not neuropathologically verified (patient is still alive) the diagnosis seems to be almost true.

Publication types

  • Case Reports

MeSH terms

  • Basal Ganglia / diagnostic imaging*
  • Basal Ganglia / pathology*
  • Cerebral Cortex / diagnostic imaging*
  • Cerebral Cortex / pathology*
  • Cognition Disorders / diagnosis
  • Diagnosis, Differential
  • Female
  • Humans
  • Middle Aged
  • Nerve Degeneration / diagnostic imaging*
  • Nerve Degeneration / pathology*
  • Parkinson Disease / diagnostic imaging*
  • Parkinson Disease / pathology*
  • Poland
  • Tomography, Emission-Computed, Single-Photon
  • Wechsler Scales