Pisa syndrome is (PS) usually seen in patients receiving antipsychotic drugs and characterised by lateral flexion of trunk and axial dystonia. It is believed that antipsychotic drugs lead to dopamine blockage causing PS. We describe a Parkinson’s disease patient who was doing well with levodopa/carbidopa for 3 years and developed lateral flexion of trunk. His abnormal posture used to completely improve upon lying down position. He also had striatal hand deformity suggestive of focal dystonia.

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• Pisa syndrome in dementia with Lewy bodies: A Chinese multicenter study
  Zhou Su, Shuai Liu, Gang Chen, Jinghuan Gan, Xinran Bao, Hongcan Zhu, Xiaodan Wang, Hao Wu, Yong Ji
  Parkinsonism & Related Disorders.2022; 103: 50.     CrossRef
• Pisa syndrome due to shunt malfunction in normal pressure hydrocephalus with comorbid Parkinson’s disease
  Halil Onder
  Annals of Movement Disorders.2022; 5(1): 68.     CrossRef
• Striatal hand in an elderly man with disseminated tuberculosis: An unusual first case
  Rohit Gaude, Upinder Kaur, Ishan Kumar, Deepak K Gautam, Indrajeet S Gambhir, Sankha S Chakrabarti
  Geriatrics & Gerontology International.2018; 18(8): 1300.     CrossRef
• Frequency and clinical correlates of postural and striatal deformities in Parkinson’s disease
  Amin Cervantes-Arriaga, Mayela Rodríguez-Violante, Hugo Morales-Briceño, Gabriel Neri-Nani, Roxanna Millán-Cepeda, Salvador Velázquez-Osuna
  Clinical Neurology and Neurosurgery.2016; 142: 140.     CrossRef
• Pisa syndrome in Parkinson's disease: An integrated approach from pathophysiology to management
  Michele Tinazzi, Christian Geroin, Marialuisa Gandolfi, Nicola Smania, Stefano Tamburin, Francesca Morgante, Alfonso Fasano
  Movement Disorders.2016; 31(12): 1785.     CrossRef
• Reversible Parkinsonism and Pisa Syndrome in Juvenile Normal Pressure Hydrocephalus
  Sanjay Pandey
  Movement Disorders Clinical Practice.2015; 2(1): 72.     CrossRef