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A MyParkinsonsTeam Member asked a question 💭
Charlotte, NC

I was told at Duke this is what I have because my DAT scan was positive but my skin biopsy was negative.

June 16
 · 
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MyParkinsonsTeam

That's a great question, and it sounds like you're getting thorough care at Duke. Atypical Parkinsonism (sometimes called "Parkinson's plus") refers to a group of conditions that share similar movement symptoms with Parkinson's disease but have some key differences.

Here's what sets atypical Parkinsonism apart:

- Movement Show Full Answer

That's a great question, and it sounds like you're getting thorough care at Duke. Atypical Parkinsonism (sometimes called "Parkinson's plus") refers to a group of conditions that share similar movement symptoms with Parkinson's disease but have some key differences.

Here's what sets atypical Parkinsonism apart:

- Movement symptoms may start on both sides of the body rather than one side
- Problems with thinking, memory, and mood can appear before movement symptoms
- It tends to progress faster than typical Parkinson's disease
- Balance issues often appear earlier
- It generally responds less well to standard Parkinson's medications like levodopa There are several types of atypical Parkinsonism, including:

- Multiple System Atrophy (MSA)
- Progressive Supranuclear Palsy (PSP)
- Corticobasal Degeneration (CBD)
- Dementia with Lewy Bodies (DLB)

Each type has slightly different symptoms that help doctors tell them apart.

Regarding your tests — a positive DaTscan confirms there is abnormal dopamine activity in the brain, which is consistent with a parkinsonism diagnosis. The negative skin biopsy helps your doctors narrow down which specific type you may have. It's worth having a detailed conversation with your neurologist at Duke about which type they suspect and what that means for your treatment plan.

June 16

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