Abnormal Involuntary Foot Positioning With Prolonged Biking

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Abnormal Involuntary Foot Positioning With Prolonged Biking - Page #3

Lab Studies: PTH 34.7 normal <br>TSH 5.88 <br>Free T4 0.77 low <br>Normal thyroid peroxidase antibody. Other Studies: Right ankle x-ray in 6/2022 read as status post ORIF of a bimalleolar fracture right ankle which appears well-healed without hardware complication. Mild early degenerative changes of the tibiotalar joint. (photo 1) <br> <br>MRI brain 9/2022 read as unremarkable brain MRI. Specifically, no structural abnormalities to account for history of parkinsonism. <br> <br>DAT scan 3/2023 read as evidence of striatal dopaminergic neurodegeneration compatible with Parkinson disease or other parkinsonian syndromes in the appropriate clinical setting. (photo 2 and 3) <br> <br>Dynamic biking video 7/2022 showing evidence of involuntary plantarflexion of the foot and inversion of the ankle with prolonged stationary biking. Consultations: Physical Medicine and Rehab Sports Medicine <br>Physical Medicine and Rehab Neuromuscular Movement Disorder Specialist Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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