Session Information
Date: Monday, June 20, 2016
Session Title: Parkinson's disease: Non-motor symptoms
Session Time: 12:30pm-2:00pm
Location: Exhibit Hall located in Hall B, Level 2
Objective: To present unusual motor and non-motor symptoms and signs in the early stage of Parkinson´s disease.
Background: Patients with Parkinson´s disease (PD) may present with unusual motor and non-motor symptoms and signs in the early stage of the disease.
Methods: Cases were collected over a 5-year period at two tertiary movement disorders clinics. All had a diagnosis of PD with unusual presentations defined retrospectively as the presence of complaints not objectively related to any of the classic cardinal signs of parkinsonism or the typical early non-motor features of PD.
Results: A total of 15 early PD patients fulfilled the proposed criteria, presenting symptoms such as atypical tremors, shoulder pain, signs related to the rigid akinetic syndrome ("rolex sign", "shirt´s button sign", "wet pillow sign", and "short jacket´s sleeve sign", among others), as well as cases of rhinorrhea, parosmia, dysgeusia, nocturnal sialorrhea, and color discrimination disorders.
Conclusions: Unusual motor and non-motor symptoms and signs in the early stage of PD can be difficult to interpret. Specialists should be aware for these conditions as clues to the potential diagnosis.
To cite this abstract in AMA style:
H.A.G. Teive, D.C. Bertucci, R.P. Munhoz. Unusual motor and non-motor symptoms and signs in the early stage of Parkinson´s disease [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/unusual-motor-and-non-motor-symptoms-and-signs-in-the-early-stage-of-parkinsons-disease/. Accessed August 30, 2025.« Back to 2016 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/unusual-motor-and-non-motor-symptoms-and-signs-in-the-early-stage-of-parkinsons-disease/