World J Phys Rehabil Med | Volume 3, Issue 1 | Case Report | Open Access

Appearance of Lower Limb Symptom in a Case of Prodromal Parkinsonism during the Postpartum Period

Yen-Jou Ho¹, Hsin-Chen He², Yan-Kuan He² and Shin-Tsu Chang^2,3,4*

¹Department of Physical Medicine and Rehabilitation, Chung Shan Medical University Hospital, Taiwan ²Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taiwan ³Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taiwan ⁴School of Medicine, Chung Shan Medical University, Taiwan

^*Correspondance to: Shin-Tsu Chang 

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Abstract

Objective: Prodromal postpartum Parkinsonism is rarely documented in the literature. We reported a case of prodromal Parkinsonism developed in postpartum period with lower limb symptoms only. Case Report: A 37-year-old woman gradually developed progressed lower limb weakness, action tremor and bradykinesia in postpartum period, six months after childbearing. Based on clinical history, symptoms presentation, and TRODAT imaging, prodromal Parkinsonism was highly considered. Her leg symptoms ameliorated with Carbidopa/Levodopa 25/100 mg three times daily, with regular follow-up at outpatient department. Through the case, we clinicians should raise our awareness to early warning signs of prodromal Parkinsonism after childbearing. Based on the clinical pictures and the TRODAT images, we sanction that TRODAT is valuable in the field of scintigraphic rehabilitation for assessing the corresponding neural dysfunction.

Keywords:

Postpartum; Prodromal Parkinsonism; TRODAT; Lower extremity; Basal ganglion

Citation:

Ho YJ, He HC, He YK, Chang S-T. Appearance of Lower Limb Symptom in a Case of Prodromal Parkinsonism during the Postpartum Period. World J Phys Rehabil Med. 2019;3(1):1013..