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December 2013; 3 (6) Clinical and Ethical Challenges

Primary dystonia misinterpreted as Parkinson disease

Video case presentation and practical clues

Olga Klepitskaya, Alexander J. Neuwelt, Tam Nguyen, Maureen Leehey
First published October 3, 2013, DOI: https://doi.org/10.1212/CPJ.0b013e3182a78eb5
Olga Klepitskaya
Department of Neurology, University of Colorado, Denver.
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Alexander J. Neuwelt
Department of Neurology, University of Colorado, Denver.
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Tam Nguyen
Department of Neurology, University of Colorado, Denver.
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Maureen Leehey
Department of Neurology, University of Colorado, Denver.
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Citation
Primary dystonia misinterpreted as Parkinson disease
Video case presentation and practical clues
Olga Klepitskaya, Alexander J. Neuwelt, Tam Nguyen, Maureen Leehey
Neurol Clin Pract Dec 2013, 3 (6) 469-474; DOI: 10.1212/CPJ.0b013e3182a78eb5

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Article Information

vol. 3 no. 6 469-474
DOI: 
https://doi.org/10.1212/CPJ.0b013e3182a78eb5

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
2163-0402
Online ISSN: 
2163-0933
History: 
  • First Published October 3, 2013.

Article Versions

  • Previous version (October 3, 2013 - 13:36).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2013 American Academy of Neurology

Author Disclosures

    1. Olga Klepitskaya, MD,
    2. Alexander J. Neuwelt, MD,
    3. Tam Nguyen, MD and
    4. Maureen Leehey, MD
  1. Olga Klepitskaya, MD,
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for travel or speaker honoraria:
    1. has received compensation for travel to the investigator meeting from USWorldMeds and Ipsen Biopharmaceuticals

    Editorial Boards:
    1. Brain Disorders and Therapy. Editorial board member

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Medtronic Neuromodulation, Merz Pharmaceutical, TEVA Pharmaceuticals

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical procedures or imaging studies:
    1. performs botulinum toxin injections (10% clinical effort) and involved in Deep Brain Stimulation treatment of movement disorders (45% clinical effort)

    Research Support, Commercial Entities:
    1. Neurologix, Schwartz Biosciences, Impax Pharmaceuticals, Solstice Neurosciences, Biotie Therapies, Ipsen Biopharmaceuticals

    Research Support, Government Entities:
    1. NIH-NINDS

    Research Support, Academic Entities:
    1. University of Colorado Denver, Department of Neurology, academic enrichment fund

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. has participated in a medical-legal cases.

  3. Alexander J. Neuwelt, MD,
  4. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Tam Nguyen, MD and
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Maureen Leehey, MD
  8. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. Gerson Lehman

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical procedures or imaging studies:
    1. performs botulinum toxin injections (5% of effort)

    Research Support, Commercial Entities:
    1. funded as a site investigator in a multi-center trials funded from Neurologix, Inc. (2008 - 2011), Schwartz Biosciences, Inc. (2008- 2012), and Impax pharmaceuticals (2011-2012)

    Research Support, Government Entities:
    1. NINDS, 2U1-NS044479, site investigator, 2002-2015; NIA, 2007-2012, RL1 AG032115, site investigator

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. Law office of Michael Goodman, PC, deposition, 2012; Amex Assurance Company, expert witness, 2012

  1. Department of Neurology, University of Colorado, Denver.
  1. Correspondence to:
    Olga.Klepitskaya{at}ucdenver.edu
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Topics Discussed

  • Dystonia
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  • Tremor

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