Dystonia in multiple system atrophy
- Department of Neurology, University Hospitals of Cleveland and Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, Ohio 44106, USA; David.Riley@uhhs.com
Dystonia is often encountered in untreated MSA
In this issue (pp 300–303) Boesch et al report on their experience with dystonia in multiple system atrophy (MSA).1 They correctly point out the relative neglect of dystonia in previous clinical descriptions of patients with MSA. In 1986, Adams declared that dystonia was “not part of the clinical tableau” of striatonigral degeneration,2 a quarter of a century after he described the disease. (Striatonigral degeneration corresponds to the MSA-P designation, carried by the bulk of the patients of Boesch et al, of current diagnostic …
