Ten years' experience with enteral levodopa infusions for motor fluctuations in Parkinson's disease
Identifieur interne : 004E93 ( Main/Exploration ); précédent : 004E92; suivant : 004E94Ten years' experience with enteral levodopa infusions for motor fluctuations in Parkinson's disease
Auteurs : Nadir Syed [États-Unis] ; John Murphy [États-Unis] ; Thomas Zimmerman Jr. [États-Unis] ; Margery H. Mark [États-Unis] ; Jacob I. Sage [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 1998-03.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Administration, Oral, Adult, Aged, Aged, 80 and over, Antiparkinson Agents (administration & dosage), Antiparkinson agent, Chemotherapy, Dyskinesia, Dyskinesia, Drug-Induced (drug therapy), Enteral administration, Female, Fluctuations, Humans, Indication, Infusion, Infusion Pumps, Infusions, Parenteral (instrumentation), Levodopa, Levodopa (administration & dosage), Levodopa (adverse effects), Long term, Male, Middle Aged, Motor Skills (drug effects), Neurologic Examination (drug effects), Parkinson Disease (drug therapy), Parkinson disease, Parkinson's disease, Pump, Route of administration, Treatment, Treatment Outcome.
- MESH :
- chemical , administration & dosage : Antiparkinson Agents, Levodopa.
- chemical , adverse effects : Levodopa.
- drug effects : Motor Skills, Neurologic Examination.
- drug therapy : Dyskinesia, Drug-Induced, Parkinson Disease.
- instrumentation : Infusions, Parenteral.
- Administration, Oral, Adult, Aged, Aged, 80 and over, Female, Humans, Infusion Pumps, Male, Middle Aged, Treatment Outcome.
Abstract
We report our long‐term experience using enteral levodopa infusions in 22 patients with Parkinson's disease and severe motor fluctuations. Amelioration of intractable dyskinesias was the most important factor that determined whether patients chose to continue using the infusion pump system. Mechanical and physical problems associated with enteral access were the most common reasons for which patients discontinued pump use. Nearly all patients continued to have dramatically increased on time for the duration of follow up, suggesting that technically less‐cumbersome systems that provide continuous dopaminergic stimulation are worthwhile and should be developed.
Url:
DOI: 10.1002/mds.870130222
Affiliations:
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Le document en format XML
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<term>Aged, 80 and over</term>
<term>Antiparkinson Agents (administration & dosage)</term>
<term>Antiparkinson agent</term>
<term>Chemotherapy</term>
<term>Dyskinesia</term>
<term>Dyskinesia, Drug-Induced (drug therapy)</term>
<term>Enteral administration</term>
<term>Female</term>
<term>Fluctuations</term>
<term>Humans</term>
<term>Indication</term>
<term>Infusion</term>
<term>Infusion Pumps</term>
<term>Infusions, Parenteral (instrumentation)</term>
<term>Levodopa</term>
<term>Levodopa (administration & dosage)</term>
<term>Levodopa (adverse effects)</term>
<term>Long term</term>
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<term>Motor Skills (drug effects)</term>
<term>Neurologic Examination (drug effects)</term>
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<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Pump</term>
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<term>Parkinson Disease</term>
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<front><div type="abstract" xml:lang="en">We report our long‐term experience using enteral levodopa infusions in 22 patients with Parkinson's disease and severe motor fluctuations. Amelioration of intractable dyskinesias was the most important factor that determined whether patients chose to continue using the infusion pump system. Mechanical and physical problems associated with enteral access were the most common reasons for which patients discontinued pump use. Nearly all patients continued to have dramatically increased on time for the duration of follow up, suggesting that technically less‐cumbersome systems that provide continuous dopaminergic stimulation are worthwhile and should be developed.</div>
</front>
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