Rasagiline improves freezing in a patient with primary progressive freezing gait

We herein report the case of a 84‐year‐old man with a 4‐year history of freezing of gait (FOG) consistent with the diagnosis of primary progressive freezing gait. Single photon emission tomography (SPECT) with a radiolabeled ligand of the dopamine transporter (DAT‐SPECT) showed integrity of striatal...

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Veröffentlicht in:Movement disorders 2008-02, Vol.23 (3), p.449-451
Hauptverfasser: Coria, Francisco, Cozar-Santiago, María del Puig
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container_title Movement disorders
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creator Coria, Francisco
Cozar-Santiago, María del Puig
description We herein report the case of a 84‐year‐old man with a 4‐year history of freezing of gait (FOG) consistent with the diagnosis of primary progressive freezing gait. Single photon emission tomography (SPECT) with a radiolabeled ligand of the dopamine transporter (DAT‐SPECT) showed integrity of striatal dopaminergic terminals, whereas brain perfusion SPECT disclosed multiple areas of decreased perfusion in frontal and parietal lobes, as well as in the subcortical gray nuclei of both sides. Treatment with the new irreversible monoamine oxidase B inhibitor rasagiline at standard doses resulted in a rapid, dramatic, and sustained improvement of the frequency and duration of FOG episodes. In addition, brain perfusion SPECT after treatment showed a marked increase of the activity in all cortical areas as well as in the basal ganglia and thalamus. Rasagiline may prove to be an effective and safe treatment for this disabling condition. © 2007 Movement Disorder Society
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aged, 80 and over
Biological and medical sciences
Brain - diagnostic imaging
Brain - drug effects
brain perfusion SPECT
Disease Progression
freezing of gait
Gait Disorders, Neurologic - diagnostic imaging
Gait Disorders, Neurologic - drug therapy
Gait Disorders, Neurologic - physiopathology
Humans
Indans - therapeutic use
Male
MAOB inhibitors
Medical sciences
Monoamine Oxidase Inhibitors - therapeutic use
Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis
Neurology
primary progressive freezing gait
rasagiline
Tomography, Emission-Computed, Single-Photon - methods
title Rasagiline improves freezing in a patient with primary progressive freezing gait
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