Multiple System Atrophy
A 66-year-old woman with the parkinsonian variant of multiple system atrophy. She presented with a 2-year history of gait and balance problems, parkinsonism, dysarthria, and cranial dystonia affecting the upper and lower face. Levodopa was poorly effective, induced severe orthostatic hypotension, and worsened her cranial dystonia.
Francesca Morgante, MD, PhD
CONTINUUM: Lifelong Learning in Neurology. 19(5, Movement Disorders):1225-1241, October 2013