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Ervin,

It  is unusual to have dyskinesia without meds.  I had it for a while when my
stimulator was turned up too high.  Also tardive dyskinesia which can occur when
one takes neuroleptics for a long period of time produces-  by a different
mechanism than levodopa induced dyskinesia- dyskinesia which actually gets worse
when the offendinding drug is withdrawn!!

Charlie

ERVIN J MCCARTHY wrote:

> Dennis, is impossible to have dyskinesia  and not be using drugs?  Thanks
> [log in to unmask]
> ----- Original Message -----
> From: Dennis Greene <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, August 11, 1999 5:56 PM
> Subject: Re: what is dyskinesia?/experiments
>
> > Tom, Brian, Ida and others,
> >
> > Brian wrote:
> >
> > > I believe that a pallidotomy,
> > > effectively turns down the gain of the feedback signal, thus making a
> > > better match to the feeble signal from the Parkinsons-affected brain.
> > >   Similarly, closing your eyes frees the brain from having to cope with
> > > another possibly conflicting signal. Note: If you have had a Pallidotomy
> > > the eye-closing routine might have a quite different effect, since the
> > > Pallidotomy and the eye-closing may be additive, subtractive, or simply
> > > the pallidotomy may swamp the eye-closing effect.
> >
> > In my experience mild to medium strength dyskinesias (not to mention many
> PD
> > symptoms per se) can be reduced by a range of comfort giving activities.
> > These include emptying the bladder, putting on sunglasses on a bright day,
> > taking off uncomfortable footwear, getting out of the heat in summer,
> > getting into the warmth in winter, adding or removing  clothing as
> required
> > by temperature changes. NOTHING, other than waiting it out, helps with
> > strong dyskinesia.  My speculation as to why this is so runs along the
> lines
> > of Brian's 'conflicting signal' comment.
> >
> > Since reading Tom's question I have tried a few experiments on myself and
> > one other person, with the following results.
> >
> > In my own case (and like Ida I have had a pallidotomy) I found that
> closing
> > my eyes resulted in a distinct pause in the mild dyskinesia I am
> > experiencing at present during my short 'on' periods.  However, within 30
> > seconds the dyskinesia re-established itself and continued on its merry
> way.
> > It is clear that closing the eyes has some effect on dyskinesia but just
> > what mechanism is at work is a moot point.
> >
> > The results of my experiment with my friend were very interesting.  He is
> a
> > man of +/- 50 years of age who has had PD for over 10 years.  He has not
> had
> > surgery and, not being a member of this list, had no knowledge of this
> > discussion.  Seeing him experiencing medium level dyskinesia I asked him
> to
> > close his eyes and keep them shut.  This he did - with no discernible
> change
> > in his dyskinesia. I then told him about this discussion and of course he
> > immediately tried again.  This time, to my amazement, his dyskinetic level
> > dropped to mild.  He opened his eyes soon afterwards so I have no idea how
> > long the change would have lasted.  I am well aware that the response of
> one
> > subject to one brief experiment is hardly definitive but it does introduce
> > the possibility of a placebo effect.
> >
> > Dennis
> >
> > +++++++++++++++++++++++++++
> > Dennis Greene 49/dx 37/ onset 32
> > There's nothing wrong with me that a cure for PD won't fix!
> > [log in to unmask]
> > http://members.networx.net.au/~dennisg/
> > +++++++++++++++++++++++++++

--
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Charles T. Meyer,  M.D.
Middleton (Madison), Wisconsin
[log in to unmask]
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