HEMIPARKINSONISM IN A PATIENT WITH PRIMARY SJOGRENS-SYNDROME - A CASE-REPORT AND A REVIEW OF THE LITERATURE

A 55-year-old woman presented with hemiparkinsonism on the left side. Clinical features suggested primary Sjogren's syndrome. Eye tests and a salivary gland biopsy confirmed this diagnosis. Magnetic resonance i maging of the brain showed distinct linear lesions of increased intens ity on the T2-weighted images in the right striatum and globus pallidu m. Treatment with prednisone and azathioprine did not give any improve ment of the neurological symptoms. To date, hemiparkinsonism in associ ation with primary Sjogren's syndrome has not been reported.