CC BY-NC-ND 4.0 · Asian J Neurosurg 2024; 19(02): 277-279
DOI: 10.1055/s-0043-1771319
Case Report

A Patient with Multiple System Atrophy-Parkinsonian Type Presenting with Progressive Micrographia

1   Neurology Clinic, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Türkiye
Beyza Nur Cetin
1   Neurology Clinic, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Türkiye
Selcuk Comoglu
1   Neurology Clinic, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Türkiye
› Author Affiliations
Funding None.


Herein, we present the case of a 57-year-old male patient who was admitted to our center due to progressive writing difficulty and slowness of his right hand over the last 3 years. In conclusion of the clinical and laboratory workup, a diagnosis of multiple system atrophy (MSA) was established. Our report on progressive micrographia (PM) constitutes a crucial sample remarking on this intriguing manifestation in another disease subtype of MSA, which differs from Parkinson's disease in terms of the clinical and pathophysiological processes. We think that further studies are warranted to clarify the significance of this entity in movement disorder in clinical practice and to reveal the underlying neural mechanisms.

Patients' Consent

Signed informed consent has been obtained from the patient and his spouse. We confirm that we have read the journal's position on issues involved in ethical publication and affirm that this work is consistent with those guidelines.

Author's Contributions

H.O. contributed to the concept and design of the study, literature search, and writing the manuscript. Supervision and critical review were done by S.C. Material collection was done by H.O, S.K., and S.C. Data collection and/or processing and analysis and/or interpretation were done by HO., B.N.C., S.C.

Publication History

Article published online:
10 June 2024

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