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January 02, 2018; 90 (1) Disputes & Debates: Editors' Choice

Editors' note: l-Dopa in dystonia: A modern perspective

Chafic Karam, Robert C. Griggs
First published December 28, 2017, DOI: https://doi.org/10.1212/WNL.0000000000004778
Chafic Karam
MD
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Robert C. Griggs
MD
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Editors' note: l-Dopa in dystonia: A modern perspective
Chafic Karam, Robert C. Griggs
Neurology Jan 2018, 90 (1) 46; DOI: 10.1212/WNL.0000000000004778

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In the Views & Reviews article “l-Dopa in dystonia: A modern perspective,” Maas et al. provided a historical perspective on the statement “Every child exhibiting dystonia merits an l-dopa trial, lest the potentially treatable condition of dopa-responsive dystonia is missed,” and discussed the current diagnostic and therapeutic applications of l-dopa in neurologic practice, contrasted these with its approved indications, and shared their view on both a diagnostic and therapeutic trial in children and adults with dystonia. Commenting on the article, Dr. Coleman notes that 4 relevant articles from 1969 to 1974 were omitted in the historical background, including the first report of the dose level of l-dopa therapy in dystonia, the first double-blind study, the first report of side effects, and the first report of dopamine-B-hydroxylase levels. Maas et al., authors of the review, cite word limit restrictions as one of the reasons those articles were omitted.

In the Views & Reviews article “l-Dopa in dystonia: A modern perspective,” Maas et al. provided a historical perspective on the statement “Every child exhibiting dystonia merits an l-dopa trial, lest the potentially treatable condition of dopa-responsive dystonia is missed,” and discussed the current diagnostic and therapeutic applications of l-dopa in neurologic practice, contrasted these with its approved indications, and shared their view on both a diagnostic and therapeutic trial in children and adults with dystonia.

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