Based on the distinctive features of our case and literature review, we suggest that the traditional AREP/DP dichotomy may not fully capture the phenotypic complexity observed in <i>PLA2G6</i>-associated parkinsonism.<h4>Conclusion</h4>This case highlights the clinical heterogeneity of PLAN and expands its genotypic spectrum with two novel mutations, suggesting that <i>PLA2G6</i>-related disorders may present with overlapping features of AREP and DP within the same individual. The gene discussed is PLA2G6; the disease is Parkinson disease.