PAINFUL PARKINSON'S DISEASE
Identifieur interne : 001D48 ( Istex/Corpus ); précédent : 001D47; suivant : 001D49PAINFUL PARKINSON'S DISEASE
Auteurs : N. P. Quinn ; A. E. Lang ; W. C. Koller ; C. D. MarsdenSource :
- The Lancet [ 0140-6736 ] ; 1986.
Abstract
A number of patients with Parkinson's disease complain of severe and distressing pain. Many of them are referred for psychiatric or other inappropriate treatment. The key diagnostic clue to the origin of the pain is that in almost all cases it fluctuates in parallel with the motor changes associated with levodopa treatment. The nature of this temporal association in the individual case, as well as aiding diagnosis, often indicates the need for appropriate modifications in antiparkinsonian therapy, which can be far more effective than conventional analgesic treatments.
Url:
DOI: 10.1016/S0140-6736(86)91674-0
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ISTEX:0D5789625A23D3B77B23C7DFB17B6511302834DBLe document en format XML
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Lang</name><affiliation><mods:affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</mods:affiliation></affiliation><affiliation><mods:affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</mods:affiliation></affiliation><affiliation><mods:affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Koller, W C" sort="Koller, W C" uniqKey="Koller W" first="W. C." last="Koller">W. C. 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P." last="Quinn">N. P. Quinn</name><affiliation><mods:affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</mods:affiliation></affiliation><affiliation><mods:affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</mods:affiliation></affiliation><affiliation><mods:affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A. E." last="Lang">A. E. Lang</name><affiliation><mods:affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</mods:affiliation></affiliation><affiliation><mods:affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</mods:affiliation></affiliation><affiliation><mods:affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Koller, W C" sort="Koller, W C" uniqKey="Koller W" first="W. C." last="Koller">W. C. Koller</name><affiliation><mods:affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</mods:affiliation></affiliation><affiliation><mods:affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</mods:affiliation></affiliation><affiliation><mods:affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</mods:affiliation></affiliation></author><author><name sortKey="Marsden, C D" sort="Marsden, C D" uniqKey="Marsden C" first="C. D." last="Marsden">C. D. Marsden</name><affiliation><mods:affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</mods:affiliation></affiliation><affiliation><mods:affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</mods:affiliation></affiliation><affiliation><mods:affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The Lancet</title><title level="j" type="abbrev">LANCET</title><idno type="ISSN">0140-6736</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1986">1986</date><biblScope unit="volume">327</biblScope><biblScope unit="issue">8494</biblScope><biblScope unit="page" from="1366">1366</biblScope><biblScope unit="page" to="1369">1369</biblScope></imprint><idno type="ISSN">0140-6736</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0140-6736</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A number of patients with Parkinson's disease complain of severe and distressing pain. Many of them are referred for psychiatric or other inappropriate treatment. The key diagnostic clue to the origin of the pain is that in almost all cases it fluctuates in parallel with the motor changes associated with levodopa treatment. The nature of this temporal association in the individual case, as well as aiding diagnosis, often indicates the need for appropriate modifications in antiparkinsonian therapy, which can be far more effective than conventional analgesic treatments.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>N.P. Quinn</name><affiliations><json:string>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</json:string><json:string>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</json:string><json:string>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>A.E. Lang</name><affiliations><json:string>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</json:string><json:string>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</json:string><json:string>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</json:string></affiliations></json:item><json:item><name>W.C. 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Marsden</name><affiliations><json:string>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</json:string><json:string>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</json:string><json:string>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</json:string></affiliations></json:item></author><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>A number of patients with Parkinson's disease complain of severe and distressing pain. Many of them are referred for psychiatric or other inappropriate treatment. The key diagnostic clue to the origin of the pain is that in almost all cases it fluctuates in parallel with the motor changes associated with levodopa treatment. 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DISEASE</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1986</date></publicationStmt><notesStmt><note type="content">Section title: Therapeutics</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">PAINFUL PARKINSON'S DISEASE</title><author xml:id="author-0000"><persName><forename type="first">N.P.</forename><surname>Quinn</surname></persName><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0001"><persName><forename type="first">A.E.</forename><surname>Lang</surname></persName><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0002"><persName><forename type="first">W.C.</forename><surname>Koller</surname></persName><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation></author><author xml:id="author-0003"><persName><forename type="first">C.D.</forename><surname>Marsden</surname></persName><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation></author><idno type="istex">0D5789625A23D3B77B23C7DFB17B6511302834DB</idno><idno type="DOI">10.1016/S0140-6736(86)91674-0</idno><idno type="PII">S0140-6736(86)91674-0</idno></analytic><monogr><title level="j">The Lancet</title><title level="j" type="abbrev">LANCET</title><idno type="pISSN">0140-6736</idno><idno type="PII">S0140-6736(00)X6388-X</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1986"></date><biblScope unit="volume">327</biblScope><biblScope unit="issue">8494</biblScope><biblScope unit="page" from="1366">1366</biblScope><biblScope unit="page" to="1369">1369</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1986</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>A number of patients with Parkinson's disease complain of severe and distressing pain. Many of them are referred for psychiatric or other inappropriate treatment. The key diagnostic clue to the origin of the pain is that in almost all cases it fluctuates in parallel with the motor changes associated with levodopa treatment. The nature of this temporal association in the individual case, as well as aiding diagnosis, often indicates the need for appropriate modifications in antiparkinsonian therapy, which can be far more effective than conventional analgesic treatments.</p></abstract></profileDesc><revisionDesc><change when="1986">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api-v5.istex.fr/document/0D5789625A23D3B77B23C7DFB17B6511302834DB/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla"><item-info><jid>LANCET</jid><aid>86916740</aid><ce:pii>S0140-6736(86)91674-0</ce:pii><ce:doi>10.1016/S0140-6736(86)91674-0</ce:doi><ce:copyright type="unknown" year="1986"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Therapeutics</ce:textfn></ce:dochead><ce:title>PAINFUL PARKINSON'S DISEASE</ce:title><ce:author-group><ce:author><ce:given-name>N.P.</ce:given-name><ce:surname>Quinn</ce:surname><ce:cross-ref refid="ART14-AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF2"><ce:sup>b</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF3"><ce:sup>c</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>A.E.</ce:given-name><ce:surname>Lang</ce:surname><ce:cross-ref refid="ART14-AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF2"><ce:sup>b</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF3"><ce:sup>c</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>W.C.</ce:given-name><ce:surname>Koller</ce:surname><ce:cross-ref refid="ART14-AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF2"><ce:sup>b</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF3"><ce:sup>c</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>C.D.</ce:given-name><ce:surname>Marsden</ce:surname><ce:cross-ref refid="ART14-AFF1"><ce:sup>a</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF2"><ce:sup>b</ce:sup></ce:cross-ref><ce:cross-ref refid="ART14-AFF3"><ce:sup>c</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="ART14-AFF1"><ce:label>a</ce:label><ce:textfn>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</ce:textfn></ce:affiliation><ce:affiliation id="ART14-AFF2"><ce:label>b</ce:label><ce:textfn>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</ce:textfn></ce:affiliation><ce:affiliation id="ART14-AFF3"><ce:label>c</ce:label><ce:textfn>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</ce:textfn></ce:affiliation></ce:author-group><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>A number of patients with Parkinson's disease complain of severe and distressing pain. Many of them are referred for psychiatric or other inappropriate treatment. The key diagnostic clue to the origin of the pain is that in almost all cases it fluctuates in parallel with the motor changes associated with levodopa treatment. The nature of this temporal association in the individual case, as well as aiding diagnosis, often indicates the need for appropriate modifications in antiparkinsonian therapy, which can be far more effective than conventional analgesic treatments.</ce:simple-para></ce:abstract-sec></ce:abstract></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>PAINFUL PARKINSON'S DISEASE</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>PAINFUL PARKINSON'S DISEASE</title></titleInfo><name type="personal"><namePart type="given">N.P.</namePart><namePart type="family">Quinn</namePart><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.E.</namePart><namePart type="family">Lang</namePart><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">W.C.</namePart><namePart type="family">Koller</namePart><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.D.</namePart><namePart type="family">Marsden</namePart><affiliation>MRC Movement Disorders Research Group, University Department of Neurology and Parkinson's Disease Society Research Centre, Institute of Psychiatry and King's College Hospital Medical School, Denmark Hill, London SE5, United Kingdon</affiliation><affiliation>Loyola University Stritch School of Medicine, Maywood, Illinois, U.S.A.</affiliation><affiliation>and Division of Neurology, Toronto Western Hospital, Toronto, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1986</dateIssued><copyrightDate encoding="w3cdtf">1986</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">A number of patients with Parkinson's disease complain of severe and distressing pain. Many of them are referred for psychiatric or other inappropriate treatment. The key diagnostic clue to the origin of the pain is that in almost all cases it fluctuates in parallel with the motor changes associated with levodopa treatment. The nature of this temporal association in the individual case, as well as aiding diagnosis, often indicates the need for appropriate modifications in antiparkinsonian therapy, which can be far more effective than conventional analgesic treatments.</abstract><note type="content">Section title: Therapeutics</note><relatedItem type="host"><titleInfo><title>The Lancet</title></titleInfo><titleInfo type="abbreviated"><title>LANCET</title></titleInfo><genre type="journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">19860614</dateIssued></originInfo><identifier type="ISSN">0140-6736</identifier><identifier type="PII">S0140-6736(00)X6388-X</identifier><part><date>19860614</date><detail type="issue"><title>Originally published as Volume 1, Issue 8494</title></detail><detail type="volume"><number>327</number><caption>vol.</caption></detail><detail type="issue"><number>8494</number><caption>no.</caption></detail><extent unit="issue pages"><start>1341</start><end>1398</end></extent><extent unit="pages"><start>1366</start><end>1369</end></extent></part></relatedItem><identifier type="istex">0D5789625A23D3B77B23C7DFB17B6511302834DB</identifier><identifier type="DOI">10.1016/S0140-6736(86)91674-0</identifier><identifier type="PII">S0140-6736(86)91674-0</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata></istex></record>Pour manipuler ce document sous Unix (Dilib)
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