Limitations of current Parkinson's disease therapy
Identifieur interne : 003132 ( Main/Exploration ); précédent : 003131; suivant : 003133Limitations of current Parkinson's disease therapy
Auteurs : Olivier Rascol [France] ; Pierre Payoux [France] ; Fabienne Ory [France] ; Joaquim J. Ferreira [France, Portugal] ; Christine Brefel-Courbon [France] ; Jean-Louis Montastruc [France]Source :
- Annals of Neurology [ 0364-5134 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Agonist, Amine oxidase (flavin-containing), Antiparkinson Agents (adverse effects), Antiparkinson Agents (classification), Antiparkinson Agents (therapeutic use), Antiparkinson agent, Catechol O-methyltransferase, Chemotherapy, Cognition Disorders (chemically induced), Dopamine agonist, Dopamine receptor, Drug Resistance, Dysarthria (chemically induced), Dyskinesia, Drug-Induced (etiology), Electric Stimulation Therapy (methods), Enzyme inhibitor, Globus Pallidus (physiology), Globus Pallidus (surgery), Human, Humans, Indication, Levodopa, MAO B inhibitor, Neurosurgical Procedures, Parkinson Disease (drug therapy), Parkinson Disease (surgery), Parkinson Disease (therapy), Parkinson disease, Psychoses, Substance-Induced (etiology), Quality of Life, Selegiline, Subthalamic Nucleus (physiology), Subthalamic Nucleus (surgery), Surgery, Toxicity, Treatment.
- MESH :
- chemical , adverse effects : Antiparkinson Agents.
- chemical , classification : Antiparkinson Agents.
- chemical , therapeutic use : Antiparkinson Agents.
- chemically induced : Cognition Disorders, Dysarthria.
- drug therapy : Parkinson Disease.
- etiology : Dyskinesia, Drug-Induced, Psychoses, Substance-Induced.
- methods : Electric Stimulation Therapy.
- physiology : Globus Pallidus, Subthalamic Nucleus.
- surgery : Globus Pallidus, Parkinson Disease, Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Drug Resistance, Humans, Neurosurgical Procedures, Quality of Life.
Abstract
Levodopa and other dopaminergic medications drastically improve the motor symptoms and quality of life of patients with Parkinson's disease in the early stages of the disease. However, once the “honeymoon” period has waned, usually after a few years of dopaminergic therapy, patients become progressively more disabled despite an ever more complex combination of available antiparkinsonian treatments. Sooner or later, they suffer from “dopa‐resistant” motor symptoms (speech impairment, abnormal posture, gait and balance problems), “dopa‐resistant” nonmotor signs (autonomic dysfunction, mood and cognitive impairment, sleep problems, pain) and/or drug‐related side effects (especially psychosis, motor fluctuations, and dyskinesias). Therefore, the current antiparkinsonian therapy cannot be considered as ideal with regard to both efficacy and safety. Ann Neurol 2003;53 (suppl 3):S3–S15
Url:
DOI: 10.1002/ana.10513
Affiliations:
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<term>Humans</term>
<term>Indication</term>
<term>Levodopa</term>
<term>MAO B inhibitor</term>
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<term>Parkinson Disease (surgery)</term>
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<front><div type="abstract" xml:lang="en">Levodopa and other dopaminergic medications drastically improve the motor symptoms and quality of life of patients with Parkinson's disease in the early stages of the disease. However, once the “honeymoon” period has waned, usually after a few years of dopaminergic therapy, patients become progressively more disabled despite an ever more complex combination of available antiparkinsonian treatments. Sooner or later, they suffer from “dopa‐resistant” motor symptoms (speech impairment, abnormal posture, gait and balance problems), “dopa‐resistant” nonmotor signs (autonomic dysfunction, mood and cognitive impairment, sleep problems, pain) and/or drug‐related side effects (especially psychosis, motor fluctuations, and dyskinesias). Therefore, the current antiparkinsonian therapy cannot be considered as ideal with regard to both efficacy and safety. Ann Neurol 2003;53 (suppl 3):S3–S15</div>
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