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  Vol. 66 No. 4, April 2009 TABLE OF CONTENTS
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 •Behavioral Neurology
 •Movement Disorders
 •Parkinson Disease/ Parkinsonian Disorders
 •Otolaryngology/ Head & Neck Surgery
 •Olfaction and Taste Disorders
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COMMENTS AND OPINIONS
Parkinsonism: The Hyposmia and Phantosmia Connection

Alan R. Hirsch, MD

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A potentially important association of phantosmias and Parkinson disease (PD) has been de lineated by Landis and Burkhard.1 We extend their description of 2 patients to an additional patient who similarly had phantosmias, parkinsonism, and hyposmia.

Report of a Case

A 64-year-old, right-handed, white man with a history of chronic hemochromatosis (phlebotomy treated) for the last 1.5 years had olfactory hallucinations of a smoky, burnt-wood smell that was mildly unpleasant, of fluctuating intensity, and occurring intermittently every other day for hours in duration. When it increased in intensity, the sensation became more unpleasant with a superimposed onion and gasoline sweet smell associated with lacrimation. The phantosmia was reduced by holding his breath, smelling strong odors, eating, distraction, nasal irrigation, sleep, blowing the nose, laughing, humming, and talking. It was present on both inhalation and expiration, and it persisted if either nostril (but not both) was occluded.

He denied trouble smelling, . . . [Full Text of this Article]


Comment

Report of a Case

AUTHOR INFORMATION


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RELATED ARTICLES

Phantosmias and Parkinson Disease
Basile N. Landis and Pierre R. Burkhard
Arch Neurol. 2008;65(9):1237-1239.
ABSTRACT | FULL TEXT  

Rapid Clinical Evaluation of Anosmia: The Alcohol Sniff Test
Terence M. Davidson and Claire Murphy
Arch Otolaryngol Head Neck Surg. 1997;123(6):591-594.
ABSTRACT  

RELATED LETTER

Parkinsonism: The Hyposmia and Phantosmia Connection—Reply
Pierre R. Burkhard and Basile N. Landis
Arch Neurol. 2009;66(4):539.
EXTRACT | FULL TEXT  


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Olfactory Disturbance in Parkinson Disease--Reply
Landis and Burkhard
Arch Neurol 2009;66:805-806.
FULL TEXT  





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