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Joseph C. Masdeu, MD
New York Medical College at St Vincent's Medical Center 153 W 11th St New York, NY 10011

Leslie Wolfson, MD
Albert Einstein College of Medicine 1300 Morris Park Ave Bronx, NY 10461

Arch Neurol. 1990;47(7):728.

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

In Reply.

—Dr Jankovic's interest in our work is deeply appreciated. It is appropriate to bring to the attention of the readers their excellent article, published after our submission, because they describe a group of patients who bear striking similarity to some of ours. They also had more white matter changes than controls with classic parkinsonism. All of their patients had a type of gait that mimicked parkinsonian gait. The gait pattern in our patients was far from homogeneous. In most of our patients the predominant impairment was one of instability, without any other features suggesting parkinsonism. Other patients had gait apraxia. In four patients the shuffling, hesitating gait pattern could have suggested parkinsonism. Thus, as Dr Jankovic indicates, some patients with periventricular white matter changes may have a parkinsonianlike gait. It is arguable whether this syndrome should be called "lower body parkinsonism" (LBP). The criteria for diagnosing LBP in . . . [Full Text PDF of this Article]

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