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Diurnal observation of antecollis in Parkinson’s disease to determine the dopamine agonist dose: A case report

Overview of attention for article published in Rinshō shinkeigaku Clinical neurology, January 2016
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Title
Diurnal observation of antecollis in Parkinson’s disease to determine the dopamine agonist dose: A case report
Published in
Rinshō shinkeigaku Clinical neurology, January 2016
DOI 10.5692/clinicalneurol.cn-000808
Pubmed ID
Authors

Kotaro Oiwa, Keizo Yasui, Yasuhiro Hasegawa

Abstract

A 50-year-old man was diagnosed with Parkinson's disease at the age of 43 years. The patient was hospitalized because of frozen gait and tendency to fall and showed abnormal postures of marked antecollis and stooped posture. The angle of the abnormal posture dramatically fluctuated, and the fluctuation coincided with the motor symptoms over the course of a 24-hour period. Treatment with rotigotine was started, and diurnal fluctuations in the gait disorder and abnormal posture were recorded. The time recorded in the Timed Up & Go test decreased after treatment with rotigotine in a dose-dependent manner, particularly early in the morning. The angle of the abnormal posture improved with a 4 mg/24 hr dose of rotigotine but worsened with a dose of 8 mg/24 hr. Because abnormal posture is a known side effect of dopamine agonists such as rotigotine, it is possible that high-dose rotigotine worsened the abnormal posture, whereas the low-dose improved the abnormal posture because of undertreatment. This case highlights the importance of observing the diurnal fluctuation in abnormal posture for developing a strategy for the treatment of Parkinson's disease.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 20 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 20 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 3 15%
Researcher 3 15%
Other 2 10%
Student > Master 2 10%
Student > Bachelor 1 5%
Other 2 10%
Unknown 7 35%
Readers by discipline Count As %
Medicine and Dentistry 6 30%
Neuroscience 4 20%
Unspecified 1 5%
Philosophy 1 5%
Nursing and Health Professions 1 5%
Other 0 0%
Unknown 7 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 December 2017.
All research outputs
#23,195,360
of 25,850,671 outputs
Outputs from Rinshō shinkeigaku Clinical neurology
#527
of 697 outputs
Outputs of similar age
#347,834
of 405,820 outputs
Outputs of similar age from Rinshō shinkeigaku Clinical neurology
#6
of 6 outputs
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So far Altmetric has tracked 697 research outputs from this source. They receive a mean Attention Score of 2.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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