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Ten steps to identify atypical parkinsonism
  1. D J Burn
  1. Correspondence to:
 D J Burn
 Regional Neurosciences Centre, Newcastle General Hospital, Westgate Road, Newcastle Upon Tyne NE4 6BE, UK; d.j.burn{at}ncl.ac.uk

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Credibility of the 10-step test in atypical parkinsonism

Like the England football team entering a major world championship, there is always the hope that a new test to differentiate Parkinson’s disease from atypical parkinsonism will be successful. Unfortunately, and in keeping with the soccer analogy, several of these tests have often failed at the quarter final stage! In the paper by Abdo et al1 (see p 1367), a remarkably simple clinical test is described that may be useful in making this differentiation. In this test, the patient is asked to take 10 consecutive tandem steps along a straight line without walking aids or support. …

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