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April 17-18, 2019 | Frankfurt, Germany
Parkinson’s, Huntington’s & Movement Disorders
International Conference on
Journal of Brain and Neurology | Volume 3
Single dose does matter: An interesting case of Parkinson’s Hyperpyrexia Syndrome
Raghavendra Bakki Sannegowda
Father Muller Medical College, India
P
arkinsonism - hyperpyrexia syndrome (PHS)
is a neurological emergency that mimics
neuroleptic malignant syndrome and sepsis.
Abrupt cessation of anti-Parkinson’s drugs, usually
levodopa is responsible for this syndrome. Relative
dopamine deficiency is proposed mechanism
for PHS and replacement of dopaminergic drugs
is the mainstay of treatment. We report a case
of Parkinson’s disease who presented with
manifestations of PHS after missing a single dose
of levodopa. His CPK was sent which was 3000 IUs
favouring the diagnosis of PHS with other myriad
of symptoms. Without any further delay, his anti-
PD medications were re- initiated and there was
dramatic improvement in the patient’s symptoms.
Our case is an eye opener to show that missing
even a single dose of levodopa can induce PHS,
a potentially preventable and treatable condition
which if untreated can mimic sepsis and is fatal.
Speaker Biography
Raghavendra Bakki Sannegowda is currently affiliated to Associate
Professor, Department of Neurology, Father Muller Medical College,
INDIA, continuing research in the specialized scientific area of
Neurology. He is serving as an honorary author for Journal of
Neurological Disorders & other reputed journals and has authored
several articles along with chapters in different books related to
Neurology, Neuroscience.
e:
padayappa4u@gmail.com