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Yoshihiro Wakayama, MD; Yutaka Nakashima, MD; Kazumasa Tanaka, MD
Division of Neurology Department of Medicine Showa University Fujigaoka Hospital 1-30 Fujigaoka, Midori-ku, Yokohama 227, Japan

Yukio Mano, MD; Kazuya Ando, MD
National Center for Nervous, Mental and Muscular Disorders Kodaira, Tokyo, 187, Japan

Arch Neurol. 1982;39(8):531.

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

To the Editor.—

Diphasic dyskinesia^1-3 and early-morning dystonia⁴ in parkinsonian patients have been reported separately. Here we describe a parkinsonian patient with both early-morning dystonia and diphasic dyskinesia.

Report of a Case. —

A 44-year-old woman, in the spring of 1979, began to have a tremor of her left hand and began to feel stiffness of her left arm in the autumn and winter of the same year in activities such as dressing. Tremor of the hand was intensified with the stiffness, so that buttoning a coat became difficult. Her left leg also became involved, which rendered it difficult to put on or take off slippers and shoes. She came to the Neurology Clinic of Showa University Fujigaoka Hospital on May 16, 1980.

On examination, she had slightly oily and masked facies and decreased blinking. Muscle stretch reflexes of the limbs were slightly diminished. Cogwheel rigidity was observed . . . [Full Text PDF of this Article]

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