A case of primary gait ignition failure

Gait ignition failure (GIF) is clinically and pathologically a poorly defined term that has gone with many different names before. Coexistence with idiopathic Parkinson’s disease, progressive supranuclear palsy, multisystem atrophy, vascular parkinsonism, posthypoxic pallidal lesions and normal pressure hydrocephalus is common. Primary GIF is rare. Main problem is start hesitation and freezing. Here, we present a 69 year old woman whose chief complaint is difficulty of gait. She did not have any other extrapiramidal signs and her MRI did not reveal any abnormality. She was diagnosed as primary gait ignition failure.