J Mov Disord.
2018 May;11(2):87-88. 10.14802/jmd.18004.
Purposeless Groaning in Parkinson's Disease
- Affiliations
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- 1Division of Neurology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. limshenyang@gmail.com
- 2Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, University of Malaya, Kuala Lumpur, Malaysia.
- 3Department of Biomedical Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
- KMID: 2413380
- DOI: http://doi.org/10.14802/jmd.18004
Abstract
- Purpose
less groaning has been reported in advanced progressive supranuclear palsy. We present a case of purposeless groaning occurring as a primary complaint in a patient with advanced Parkinson's disease. Purposeless groaning is thought to be a manifestation of disinhibition and perseveration due to frontal-subcortical dysfunction. Proper recognition of this phenomenon will help clinicians to avoid unnecessary investigations and treatment (e.g., prescription of opioid medications).
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