Table 1

Dystonia and dyskinesias in 12 levodopa responsive patients with MSA-P

PatientMSA subtypeAge at disease onsetDisease duration (y)Levodopa naive dystoniaInitial levodopa responseLatency to introduction of levodopa (y)Latency to levodopa induced dyskinesias (y)Maximum levodopa dose (mg/day)Site of dyskinesiasTime course of dyskinesiasNature of dyskinesias
*Patients with MSA-P confirmed by postmortem.
1MSA-P618AntecollisModerate13600CervicalPeak doseDystonic
2*MSA-P545Dystonic armExcellent14500GeneralisedPeak doseChoreodystonic
8MSA-P559NoneExcellent23500CraniocervicalPeak doseDystonic
9MSA-P597Writers crampGood14600CraniocervicalPeak doseDystonic
10MSA-P645NoneGood12600Both legsPeak dose, off periodChoreodystonic
11MSA-P4713AntecollisExcellent31750CraniocervicalPeak dose, off periodDystonic
12MSA-P745AntecollisModerate12600CervicalPeak doseDystonic
13MSA-P546NoneGood10.5300CraniocervicalPeak doseDystonic
14*MSA-P574Dystonic foot posturingExcellent11600Left armEnd of doseDystonic
15MSA-P617NoneGood23400Right legPeak doseChoreatic
16*MSA-P474NoneModerate12500GeneralisedPeak doseDystonic
18*MSA-P555NoneModerate13700CraniocervicalPeak doseDystonic
n=12Mean 57.3 yMean 7.3 yMean 1.4 yMean 2.3 yMean 550 mg/day