Movement Disorders (revue)

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Sublingual atropine for sialorrhea secondary to parkinsonism: A pilot study

Identifieur interne : 002567 ( PascalFrancis/Corpus ); précédent : 002566; suivant : 002568

Sublingual atropine for sialorrhea secondary to parkinsonism: A pilot study

Auteurs : H. Christopher Hyson ; Andrew M. Johnson ; Mandar S. Jog

Source :

RBID : Pascal:03-0040823

Descripteurs français

English descriptors

Abstract

Sialorrhea is a relatively common symptom in idiopathic Parkinson's disease and related conditions for which most of the accepted treatments are either highly invasive or may cause substantial systemic side effects. This study describes an open-label pilot study of sublingual atropine drops for the treatment of sialorrhea in 7 patients (6 with Parkinson's disease, I with progressive supranuclear palsy). Participants demonstrated statistically significant declines in saliva production, both objectively and subjectively. Self-reported drooling severity showed a significant decline between baseline and 180 minutes, t(6) = 3.240 P < 0.025 (η2 = 0.636), and between baseline and I week, t(6) = 4.583 P < 0.005 (η2 = 0.778). Objectively measured saliva production decreased significantly between baseline and the 1-week follow-up, t(6) = 2.711 P < 0.05 (η2 = 0.551). Delirium occurred in 1 patient (concurrent with a urinary tract infection), and 2 patients experienced worsening of hallucinations (active hallucinosis was concealed by both individuals to allow participation in the trial). The remaining trial participants did not experience any anticholinergic side effects. This trial shows that, in selected patient populations, sublingual atropine is a simple and inexpensive treatment for sialorrhea associated with parkinsonism.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 17
A06       @2 6
A08 01  1  ENG  @1 Sublingual atropine for sialorrhea secondary to parkinsonism: A pilot study
A11 01  1    @1 HYSON (H. Christopher)
A11 02  1    @1 JOHNSON (Andrew M.)
A11 03  1    @1 JOG (Mandar S.)
A14 01      @1 Movement Disorders Program, London Health Sciences Centre @2 London, Ontario @3 CAN @Z 1 aut. @Z 3 aut.
A14 02      @1 University of Western Ontario @2 London, Ontario @3 CAN @Z 2 aut.
A20       @1 1318-1320
A21       @1 2002
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000105559450260
A44       @0 0000 @1 © 2003 INIST-CNRS. All rights reserved.
A45       @0 12 ref.
A47 01  1    @0 03-0040823
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Sialorrhea is a relatively common symptom in idiopathic Parkinson's disease and related conditions for which most of the accepted treatments are either highly invasive or may cause substantial systemic side effects. This study describes an open-label pilot study of sublingual atropine drops for the treatment of sialorrhea in 7 patients (6 with Parkinson's disease, I with progressive supranuclear palsy). Participants demonstrated statistically significant declines in saliva production, both objectively and subjectively. Self-reported drooling severity showed a significant decline between baseline and 180 minutes, t(6) = 3.240 P < 0.025 (η2 = 0.636), and between baseline and I week, t(6) = 4.583 P < 0.005 (η2 = 0.778). Objectively measured saliva production decreased significantly between baseline and the 1-week follow-up, t(6) = 2.711 P < 0.05 (η2 = 0.551). Delirium occurred in 1 patient (concurrent with a urinary tract infection), and 2 patients experienced worsening of hallucinations (active hallucinosis was concealed by both individuals to allow participation in the trial). The remaining trial participants did not experience any anticholinergic side effects. This trial shows that, in selected patient populations, sublingual atropine is a simple and inexpensive treatment for sialorrhea associated with parkinsonism.
C02 01  X    @0 002B17G
C03 01  X  FRE  @0 Parkinson maladie @5 01
C03 01  X  ENG  @0 Parkinson disease @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @5 01
C03 02  X  FRE  @0 Sialorrhée @5 04
C03 02  X  ENG  @0 Sialorrhea @5 04
C03 02  X  SPA  @0 Sialorrea @5 04
C03 03  X  FRE  @0 Atropine @2 NK @2 FR @5 07
C03 03  X  ENG  @0 Atropine @2 NK @2 FR @5 07
C03 03  X  SPA  @0 Atropina @2 NK @2 FR @5 07
C03 04  X  FRE  @0 Parasympatholytique @5 08
C03 04  X  ENG  @0 Parasympatholytic @5 08
C03 04  X  SPA  @0 Parasimpatolítico @5 08
C03 05  X  FRE  @0 Voie sublinguale @5 10
C03 05  X  ENG  @0 Sublingual administration @5 10
C03 05  X  SPA  @0 Vía sublingual @5 10
C03 06  X  FRE  @0 Chimiothérapie @5 16
C03 06  X  ENG  @0 Chemotherapy @5 16
C03 06  X  SPA  @0 Quimioterapia @5 16
C03 07  X  FRE  @0 Traitement @5 17
C03 07  X  ENG  @0 Treatment @5 17
C03 07  X  SPA  @0 Tratamiento @5 17
C03 08  X  FRE  @0 Homme @5 20
C03 08  X  ENG  @0 Human @5 20
C03 08  X  SPA  @0 Hombre @5 20
C03 09  X  FRE  @0 Etude préalable @5 23
C03 09  X  ENG  @0 Previous study @5 23
C03 09  X  SPA  @0 Estudio previo @5 23
C07 01  X  FRE  @0 Système nerveux pathologie @5 37
C07 01  X  ENG  @0 Nervous system diseases @5 37
C07 01  X  SPA  @0 Sistema nervioso patología @5 37
C07 02  X  FRE  @0 Système nerveux central pathologie @5 38
C07 02  X  ENG  @0 Central nervous system disease @5 38
C07 02  X  SPA  @0 Sistema nervosio central patología @5 38
C07 03  X  FRE  @0 Encéphale pathologie @5 39
C07 03  X  ENG  @0 Cerebral disorder @5 39
C07 03  X  SPA  @0 Encéfalo patología @5 39
C07 04  X  FRE  @0 Extrapyramidal syndrome @5 40
C07 04  X  ENG  @0 Extrapyramidal syndrome @5 40
C07 04  X  SPA  @0 Extrapiramidal síndrome @5 40
C07 05  X  FRE  @0 Maladie dégénérative @5 41
C07 05  X  ENG  @0 Degenerative disease @5 41
C07 05  X  SPA  @0 Enfermedad degenerativa @5 41
C07 06  X  FRE  @0 Voie administration @5 61
C07 06  X  ENG  @0 Route of administration @5 61
C07 06  X  SPA  @0 Vía administración @5 61
N21       @1 020
N82       @1 PSI

Format Inist (serveur)

NO : PASCAL 03-0040823 INIST
ET : Sublingual atropine for sialorrhea secondary to parkinsonism: A pilot study
AU : HYSON (H. Christopher); JOHNSON (Andrew M.); JOG (Mandar S.)
AF : Movement Disorders Program, London Health Sciences Centre/London, Ontario/Canada (1 aut., 3 aut.); University of Western Ontario/London, Ontario/Canada (2 aut.)
DT : Publication en série; Courte communication, note brève; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. 6; Pp. 1318-1320; Bibl. 12 ref.
LA : Anglais
EA : Sialorrhea is a relatively common symptom in idiopathic Parkinson's disease and related conditions for which most of the accepted treatments are either highly invasive or may cause substantial systemic side effects. This study describes an open-label pilot study of sublingual atropine drops for the treatment of sialorrhea in 7 patients (6 with Parkinson's disease, I with progressive supranuclear palsy). Participants demonstrated statistically significant declines in saliva production, both objectively and subjectively. Self-reported drooling severity showed a significant decline between baseline and 180 minutes, t(6) = 3.240 P < 0.025 (η2 = 0.636), and between baseline and I week, t(6) = 4.583 P < 0.005 (η2 = 0.778). Objectively measured saliva production decreased significantly between baseline and the 1-week follow-up, t(6) = 2.711 P < 0.05 (η2 = 0.551). Delirium occurred in 1 patient (concurrent with a urinary tract infection), and 2 patients experienced worsening of hallucinations (active hallucinosis was concealed by both individuals to allow participation in the trial). The remaining trial participants did not experience any anticholinergic side effects. This trial shows that, in selected patient populations, sublingual atropine is a simple and inexpensive treatment for sialorrhea associated with parkinsonism.
CC : 002B17G
FD : Parkinson maladie; Sialorrhée; Atropine; Parasympatholytique; Voie sublinguale; Chimiothérapie; Traitement; Homme; Etude préalable
FG : Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Voie administration
ED : Parkinson disease; Sialorrhea; Atropine; Parasympatholytic; Sublingual administration; Chemotherapy; Treatment; Human; Previous study
EG : Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Route of administration
SD : Parkinson enfermedad; Sialorrea; Atropina; Parasimpatolítico; Vía sublingual; Quimioterapia; Tratamiento; Hombre; Estudio previo
LO : INIST-20953.354000105559450260
ID : 03-0040823

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Pascal:03-0040823

Le document en format XML

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<NO>PASCAL 03-0040823 INIST</NO>
<ET>Sublingual atropine for sialorrhea secondary to parkinsonism: A pilot study</ET>
<AU>HYSON (H. Christopher); JOHNSON (Andrew M.); JOG (Mandar S.)</AU>
<AF>Movement Disorders Program, London Health Sciences Centre/London, Ontario/Canada (1 aut., 3 aut.); University of Western Ontario/London, Ontario/Canada (2 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2002; Vol. 17; No. 6; Pp. 1318-1320; Bibl. 12 ref.</SO>
<LA>Anglais</LA>
<EA>Sialorrhea is a relatively common symptom in idiopathic Parkinson's disease and related conditions for which most of the accepted treatments are either highly invasive or may cause substantial systemic side effects. This study describes an open-label pilot study of sublingual atropine drops for the treatment of sialorrhea in 7 patients (6 with Parkinson's disease, I with progressive supranuclear palsy). Participants demonstrated statistically significant declines in saliva production, both objectively and subjectively. Self-reported drooling severity showed a significant decline between baseline and 180 minutes, t(6) = 3.240 P < 0.025 (η
<sup>2</sup>
= 0.636), and between baseline and I week, t(6) = 4.583 P < 0.005 (η
<sup>2</sup>
= 0.778). Objectively measured saliva production decreased significantly between baseline and the 1-week follow-up, t(6) = 2.711 P < 0.05 (η
<sup>2</sup>
= 0.551). Delirium occurred in 1 patient (concurrent with a urinary tract infection), and 2 patients experienced worsening of hallucinations (active hallucinosis was concealed by both individuals to allow participation in the trial). The remaining trial participants did not experience any anticholinergic side effects. This trial shows that, in selected patient populations, sublingual atropine is a simple and inexpensive treatment for sialorrhea associated with parkinsonism.</EA>
<CC>002B17G</CC>
<FD>Parkinson maladie; Sialorrhée; Atropine; Parasympatholytique; Voie sublinguale; Chimiothérapie; Traitement; Homme; Etude préalable</FD>
<FG>Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Voie administration</FG>
<ED>Parkinson disease; Sialorrhea; Atropine; Parasympatholytic; Sublingual administration; Chemotherapy; Treatment; Human; Previous study</ED>
<EG>Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Route of administration</EG>
<SD>Parkinson enfermedad; Sialorrea; Atropina; Parasimpatolítico; Vía sublingual; Quimioterapia; Tratamiento; Hombre; Estudio previo</SD>
<LO>INIST-20953.354000105559450260</LO>
<ID>03-0040823</ID>
</server>
</inist>
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