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. 2019 Nov 18;51(11):139. doi: 10.1038/s12276-019-0346-8

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© The Author(s) 2019

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.

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Fig. 1 — The symptoms are subdivided into parkinsonian, cerebellar, and autonomic. Parkinsonian symptoms include motor symptoms, such as bradykinesia, tremor, and postural instability. Patients with more evident parkinsonism are considered to have the parkinsonian subtype of the disease (MSA-P). Patients with cerebellar symptoms, such as ataxia and cerebellar oculomotor dysfunction, are considered to have the cerebellar subtype of the disease (MSA-C). Both subtypes share common autonomic dysfunctions described above.