{Reference Type}: Case Reports {Title}: ATP1A3 related disease manifesting as rapid onset dystonia-parkinsonism with prominent myoclonus and exaggerated startle. {Author}: Williams L;Waller SE;Bradley M;Lockhart A;Narayanan RK;Kumar KR;Morales Briceno H;Tchan M;Healy DG;Fung VSC; {Journal}: Parkinsonism Relat Disord {Volume}: 117 {Issue}: 0 {Year}: 2023 Dec 5 {Factor}: 4.402 {DOI}: 10.1016/j.parkreldis.2023.105864 {Abstract}: We report ATP1A3-associated rapid-onset dystonia-parkinsonism with an atypical presentation including myoclonus and exaggerated startle in four patients. Their prominence over parkinsonism prompted consideration of a syndromic diagnosis of myoclonus dystonia. ATP1α3 dysfunction in GABAergic neurons could explain these examination findings. The spectrum of ATP1A3-associated movement disorders includes myoclonus-dystonia.