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Pisa Syndrome

Authors
Identifiers
DOI: 10.1016/b978-0-12-374105-9.00509-8
Keywords
  • Dystonia
  • Neuroleptic
  • Parkinson
Disciplines
  • Medicine

Abstract

Pisa syndrome (PS) is an acute or tardive truncal dystonia with involuntary flexion of the body to one side, and therefore the patient appears to lean like the Leaning Tower of Pisa. Caused mainly by neuroleptic treatment, it is rarely seen with other medications or as a neurodegenerative feature. Thought to be due to an imbalance of the dopaminergic/cholinergic transmission, PS ameliorates after drug withdrawal or treatment with anticholinergics.

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