Neurological Sciences

, Volume 40, Issue 2, pp 423–425 | Cite as

Dramatic improvement by levodopa treatment in a patient with vascular parkinsonism

  • Halil OnderEmail author
Letter to the Editor


Herein, a-60-year-old female patient is described who attended to neurology clinic due to complaints of walking difficulty and postural instability. Upon history taking, it was learnt that the complaints of the patient had started 3 years ago, which had become rather evident following a stroke characterized by dysarthria and left lower extremity paralysis. In the following course, gait problems had insidiously deteriorated. Of note; no prodromal symptoms of Parkinson’s disease (PD) such as hyposmia, constipation, and REM sleep behavior disorder were defined. The patient did not define complaints of memory impairment or hallucinations. She had no symptoms of dysautonomia such as orthostatic hypotension or gastroparesis. On neurological examination, she was evaluated as orientated and fully cooperated. Her speech was dysarthria. Remarkably, her walking was characterized with small steps and she had difficulty particularly during turning which was compatible with lower body...


Compliance with ethical standards

Conflict of interest

The author declares that there is no conflict of interest.

Supplementary material

10072_2018_3599_MOESM1_ESM.mp4 (2 mb)
Video 1 Video at admission, showing short stepped gait, characterized with difficulty particularly during turning which was compatible with lower body parkinsonism. (MP4 2033 kb)
10072_2018_3599_MOESM2_ESM.mp4 (2.2 mb)
Video 2 Follow-up video, showing significant improvement on levodopa treatment. (MP4 2227 kb)


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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Yozgat City HospitalNeurology ClinicYozgatTurkey

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