Movement Disorders (revue)

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Levodopa unresponsive symptoms in Parkinson disease

Identifieur interne : 002785 ( Main/Exploration ); précédent : 002784; suivant : 002786

Levodopa unresponsive symptoms in Parkinson disease

Auteurs : Kapil Sethi [États-Unis]

Source :

RBID : ISTEX:AA538F1C3AF899A9F2F2D87BC90503E27C0132C6

Descripteurs français

English descriptors

Abstract

Levodopa has been the mainstay of symptomatic therapy for Parkinson Disease (PD) for 40 years providing benefit to virtually all patients. Levodopa therapy results in improved activities of daily living, enhanced quality of life, and improved mortality. However, the long‐term use of levodopa is associated with the development of motor fluctuations and dyskinesia. In addition, levodopa therapy has further limitations. It has little or no effect on certain motor features (e.g. gait and balance dysfunction) and a non‐motor symptom complex (autonomic dysfunction, pain syndromes, sleep disorders, mood disturbances, dementia). Further, multiple case reports illustrate the potential of levodopa and other dopaminergic agents to cause or reveal a series of impulse control disorders. This review highlights the levodopa unresponsive symptoms in PD. © 2008 Movement Disorder Society

Url:
DOI: 10.1002/mds.22049


Affiliations:


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