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Purposeless Groaning in Parkinson's Disease

Lim SY 1 , Tan AH 1 , Lim JL 2 , Ahmad-Annuar A 3

Affiliations 

  • 1 Division of Neurology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • 2 Mah Pooi Soo & Tan Chin Nam Centre for Parkinson's & Related Disorders, University of Malaya, Kuala Lumpur, Malaysia
  • 3 Department of Biomedical Science, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
J Mov Disord, 2018 May;11(2):87-88.
PMID: 29860787 DOI: 10.14802/jmd.18004

Abstract

Purposeless groaning has been reported in advanced progressive supranuclear palsy. We present a case of purposeless groaning occurring as a primary complaint in a patient with advanced Parkinson's disease. Purposeless groaning is thought to be a manifestation of disinhibition and perseveration due to frontal-subcortical dysfunction. Proper recognition of this phenomenon will help clinicians to avoid unnecessary investigations and treatment (e.g., prescription of opioid medications).

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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