Possible effects of pramipexole on neck muscles in a patient with Parkinson's disease

Filippi, Roberto, Rasetti, Mario, Lenzi, Marco and Bright, Peter (2014) Possible effects of pramipexole on neck muscles in a patient with Parkinson's disease. Oxford Medical Case Reports, 2014 (1). pp. 8-10. ISSN 2053-8855

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Official URL: http://dx.doi.org/10.1093/omcr/omu003


Recent case reports suggest a possible causal correlation between antecollis and pramipexole. Here, we report the case of a 62-year-old Italian man with a 2-year history of Parkinson’s disease (PD) and cervical spondylosis for which he was treated with pramipexole. He developed severe neck rigidity immediately after an inguinal hernia operation but several months after introduction of pramipexole. He was initially treated with painkillers and physiotherapy with no significant improvement. His condition deteriorated presenting disproportionate rigidity between anterior and posterior neck muscles (antecollis) to the extent that normal activities were severely restricted. However, significant improvement occurred after the withdrawal of pramipexole. The patient undertook a second cycle of physiotherapy with remarkable results and returned to function normally in everyday life. This case report suggests that neurologists should be motivated to inform the scientific community about other possible cases in which an association between antecollis and pramipexole might operate in PD.

Item Type: Journal Article
Keywords: parkinson disease, analgesics, cervical spine diseases, hernia, inguinal, muscle rigidity, neck muscles, pramipexol, community, neck stiffness, extensor muscles of back of neck, antecollis
Faculty: ARCHIVED Faculty of Science & Technology (until September 2018)
Depositing User: Repository Admin
Date Deposited: 13 May 2014 15:24
Last Modified: 23 Feb 2022 11:49
URI: https://arro.anglia.ac.uk/id/eprint/316757

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