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Multiple system atrophy mimicked by multi-organ pathology

Abstract

Both multiple system atrophy and Parkinson’s disease may present with parkinsonism and autonomic dysfunction. We describe a patient who initially met the diagnostic criteria for multiple system atrophy and had atypical features for Parkinson’s disease including blackouts and pyramidal signs. Ultimately, he was found to have three separate diagnoses rather than a single unifying one.

  • clinical neurology
  • Parkinson's disease
  • Autonomic
  • Spinal tumour
  • multiple system atrophy

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