Samantha Pavey

May 25, 2023 | pn.bmj.com | Emma Saunders |Samantha Pavey |Emma Rushton |Niall Quinn

ExaminationAs in all of neurology, the examination of an MSA patient begins from the waiting room. Patients may have a wide-based or shuffling gait, often with a stooped posture. Retrocollis or a rigid extended posture might suggest progressive supranuclear palsy. Abnormal postures such as Pisa syndrome (laterocollis of the trunk), disproportionate antecollis or contractures of the hands and feet may indicate MSA. Asymmetrical limb dystonia (or an alien limb) could relate to corticobasal syndrome.