Case Report: Secondary bilateral parkinsonism and dystonia treated with dronabinol [version 2; peer review: 1 approved, 1 approved with reservations]

Drug abuse may damage basal ganglia that are essential for planning and execution of movements. We report a 38-year old patient with ischemic lesions of the basal ganglia presenting with bilateral painful dystonia and parkinsonism caused by polyintoxication. Dronabinol resulted in improvement of pain and gait disturbance, suggesting a novel therapeutic strategy in these challenging patients.