Movement Disorders (revue)

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Excellent response to apomorphine in Parkinsonism with optic atrophy unresponsive to oral antiparkinsonian medication.

Identifieur interne : 001717 ( Ncbi/Checkpoint ); précédent : 001716; suivant : 001718

Excellent response to apomorphine in Parkinsonism with optic atrophy unresponsive to oral antiparkinsonian medication.

Auteurs : Angela Deutschl Nder [Allemagne] ; Friedrich Asmus ; Elena Marelli ; Thomas Klopstock ; Thomas Gasser ; Kai Bötzel

Source :

RBID : pubmed:16755578

English descriptors

Abstract

Two patients presented with the cardinal symptoms of Parkinson's disease (PD), which had developed slowly and progressively. One patient underwent brain imaging of the dopaminergic system, the results of which were compatible with PD. However, both patients showed no response to L-dopa or oral dopaminergic medication. They also had optic nerve atrophy of unknown etiology. The severe motor symptoms of both patients were conspicuously alleviated by apomorphine delivered subcutaneously. One patient underwent bilateral subthalamic nucleus deep brain stimulation, which also proved effective.

DOI: 10.1002/mds.20975
PubMed: 16755578


Affiliations:


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pubmed:16755578

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<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Administration, Oral</term>
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<term>Apomorphine (administration & dosage)</term>
<term>Combined Modality Therapy</term>
<term>Deep Brain Stimulation</term>
<term>Dose-Response Relationship, Drug</term>
<term>Drug Resistance</term>
<term>Drug Therapy, Combination</term>
<term>Humans</term>
<term>Hypokinesia (diagnosis)</term>
<term>Hypokinesia (drug therapy)</term>
<term>Infusions, Intravenous</term>
<term>Injections, Subcutaneous</term>
<term>Levodopa (administration & dosage)</term>
<term>Middle Aged</term>
<term>Neurologic Examination (drug effects)</term>
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<div type="abstract" xml:lang="en">Two patients presented with the cardinal symptoms of Parkinson's disease (PD), which had developed slowly and progressively. One patient underwent brain imaging of the dopaminergic system, the results of which were compatible with PD. However, both patients showed no response to L-dopa or oral dopaminergic medication. They also had optic nerve atrophy of unknown etiology. The severe motor symptoms of both patients were conspicuously alleviated by apomorphine delivered subcutaneously. One patient underwent bilateral subthalamic nucleus deep brain stimulation, which also proved effective.</div>
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