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This chapter presents a patient with symptoms suspected of Parkinson’s disease, but challenging neurologic examination due to a preexisting neurological condition. It shows an example of the added value of dopamine transporter single photon emission computed tomography (DAT SPECT) in the diagnostic process in such complicated cases. Besides, the interpretation of the semiquantitative analysis of the DAT SPECT scan in this case is not straightforward but demonstrates the usefulness of the putamen to caudate ratio and visual binding pattern.

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Case 15: Parkinson’s Disease with Left-Sided Spasticity

  • 章节

  • 发表日期：

    2025年

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  • Elsmarieke van de Giessen

摘要

This chapter presents a patient with symptoms suspected of Parkinson’s disease, but challenging neurologic examination due to a preexisting neurological condition. It shows an example of the added value of dopamine transporter single photon emission computed tomography (DAT SPECT) in the diagnostic process in such complicated cases. Besides, the interpretation of the semiquantitative analysis of the DAT SPECT scan in this case is not straightforward but demonstrates the usefulness of the putamen to caudate ratio and visual binding pattern.