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Unusual motor and non-motor symptoms and signs in the early stage of Parkinson´s disease

H.A.G. Teive, D.C. Bertucci, R.P. Munhoz (Curitiba, Brazil)

Meeting: 2016 International Congress

Abstract Number: 307

Keywords: Pain, Parkinsonism, Rhinorrhea, Tremors: Clinical features

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 June 14, 2025.
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