Levodopa unresponsive symptoms in Parkinson disease
Identifieur interne : 002785 ( Main/Exploration ); précédent : 002784; suivant : 002786Levodopa unresponsive symptoms in Parkinson disease
Auteurs : Kapil Sethi [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2008.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Antiparkinson Agents (adverse effects), Antiparkinson Agents (therapeutic use), Anxiety (epidemiology), Depression (epidemiology), Dyskinesia, Drug-Induced (diagnosis), Female, Gait Disorders, Neurologic (epidemiology), Humans, Levodopa, Levodopa (adverse effects), Levodopa (therapeutic use), Male, Nervous system diseases, Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson disease, Sexual Dysfunction, Physiological (epidemiology), Sleep Disorders (epidemiology), Sweating (drug effects), Xerostomia (chemically induced), levodopa, nonmotor symptoms, parkinson's disease.
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- chemically induced : Xerostomia.
- diagnosis : Dyskinesia, Drug-Induced.
- drug effects : Sweating.
- drug therapy : Parkinson Disease.
- epidemiology : Anxiety, Depression, Gait Disorders, Neurologic, Sexual Dysfunction, Physiological, Sleep Disorders.
- physiopathology : Parkinson Disease.
- psychology : Parkinson Disease.
- Female, Humans, Male.
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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Le document en format XML
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<term>Depression (epidemiology)</term>
<term>Dyskinesia, Drug-Induced (diagnosis)</term>
<term>Female</term>
<term>Gait Disorders, Neurologic (epidemiology)</term>
<term>Humans</term>
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<term>Levodopa (therapeutic use)</term>
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<term>Parkinson Disease (psychology)</term>
<term>Parkinson disease</term>
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<term>Sweating (drug effects)</term>
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<term>levodopa</term>
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<term>parkinson's disease</term>
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<term>Sexual Dysfunction, Physiological</term>
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<front><div type="abstract" xml:lang="en">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</div>
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