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Pisa Syndrome


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#1 miracleseeker

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Posted 12 June 2014 - 12:14 PM

Does your loved one have trouble standing or sitting straight.  My mom has been leaning to the right constantly losing her balance all the time.  She even does this on the toilet which makes it very dangerous.    I've asked Dr. Okun before about this and he said he's never heard of it even though I've seen articles on this on the web.  I remember the former pope had it too.

 

 



#2 coacht

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Posted 12 June 2014 - 01:36 PM

My wife has started holding her left arm straight out behind her with her palm facing up, then she leans to the right. I have also noticed her leaning to the right when she is walking. It is related to dyskinesias according to the neurologist.

#3 miracleseeker

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Posted 12 June 2014 - 02:23 PM

Really?  That's interesting because my mom was taking Amantadine last month for dyskinesia of the head which it did help but the leaning got worse.   Is your wife still leaning?  What did her doctor do for it?

I thought she isn't medicated enough so it's a dopamine difficient thing.



#4 coacht

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Posted 12 June 2014 - 03:47 PM

The neurologist has not done anything since she is looking at DBS and has an evaluation appointment next month. She is also taking amantadine and it really helped, but she did not have dyskinesias at the time. Everyone is different to some extent in this disease which makes things difficult. Her dyskinesias include exaggerated movements, pursed lips, tapping feet, the arm held back, etc. You mother's leaning may also be due to something else such as an inner ear problem. Bits of calcium build up and then sometimes break off and move around the cilia and can really mess up a person. That usually goes away in time.

#5 miracleseeker

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Posted 12 June 2014 - 04:21 PM

Her back is curved now too so I think it's a posture thing.  She sleeps to her right also and I think overtime she just got stuck like that.

 

Did the amantadine make her weak?  My mom had no leg strength while she was on it so combined with the leaning I just stopped it all together. 



#6 christie

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Posted 12 June 2014 - 06:02 PM

Miracleseeker, that's an interesting article on PD-related Pisa syndrome. Including a Figure showing a PD patient leaning to the side.

 

http://www.movementd...md_article4.pdf


English is not my first language !

#7 miracleseeker

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Posted 12 June 2014 - 06:30 PM

Thanks Christie.  I wish this was in plain English though.  :razz:    I actually look more like that man than my mom does because I have Scoilosis.   I'll have to re-read this to fully understand the findings. 



#8 christie

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Posted 12 June 2014 - 06:51 PM

Miracleseeker, go straight to the "discussion" of the article; the language of this section is plain enough.

 

This is another article on Pisa syndrome in PD. Basically, a report of two elderly patients with PD who developed Pisa syndrome (axial end-of-dose dystonia, as described in the article) as a symptom of motor fluctuations. In both cases, significant improvement of Pisa syndrome was noted after slow increase of levodopa.

 

http://www.orthochin...80306232711.pdf


English is not my first language !

#9 miracleseeker

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Posted 12 June 2014 - 10:55 PM

Thanks.



#10 coacht

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Posted 13 June 2014 - 08:04 AM

Interesting article. It fits with the dystonia which is my wife's biggest problem. The muscle atrophy could become a problem and
lead to pain down the road.




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