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| | eMedicine - Multiple System Atrophy : Article by André Diedrich, MD, PhD (Site not responding. Last check: 2007-11-03) |
 | | MSA is classified as possible, probable, or definite on the basis of its features and on criteria in 3 clinical domains: autonomic and/or urinary dysfunction, parkinsonism, and cerebellar dysfunction (Table 2, Table 3, Table 4, Table 5, Table 6). |
 | | MSA is suggested when (1) disability progresses rapidly, (2) patients are poorly responsive to levodopa, (3) autonomic features such as urinary retention or incontinence or orthostatic hypotension are pronounced, and (4) rigidity and bradykinesia are out of proportion to tremor. |
 | | MSA is a difficult diagnosis, especially early in the clinical course, and the initial physician often misdiagnoses the condition. |
| www.emedicine.com /neuro/topic671.htm (7112 words) |
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