Marked asymmetry of putaminal pathology in an MSA‐P patient with Pisa syndrome

Abstract
We report on an autopsy case of a 62‐year‐old Japanese woman with a 2.5‐year history of axial dystonia. She presented with a form of axial dystonia reminiscent of Pisa syndrome. The pathophysiological mechanism underlying forms of axial dystonia remains to be elucidated. We report here the histopathological findings of a multiple system atrophy of parkinsonian predominance (MSA‐P) patient with Pisa syndrome. © 2003 Movement Disorder Society