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Onset and spread of dyskinesias and motor symptoms in Parkinson's disease

Identifieur interne : 002519 ( Main/Corpus ); précédent : 002518; suivant : 002520

Onset and spread of dyskinesias and motor symptoms in Parkinson's disease

Auteurs : Giovanni Fabbrini ; Giovanni Defazio ; Carlo Colosimo ; Antonio Suppa ; Maria Bloise ; Alfredo Berardelli

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RBID : ISTEX:BB4F3066149608A09947959E0C27693D79F5B9B4

English descriptors

Abstract

We retrospectively investigated in consecutive Parkinson's disease (PD) outpatients the relationship between the body region in which LID first appeared and the body region where Parkinsonian motor symptoms started. We also studied the spread of LID and motor symptoms to other body parts during the progression of PD. Of the 307 PD patients investigated, 99 with LID were enrolled in the study. In these 99 patients, LID started unilaterally in the limbs in 44, bilaterally in the limbs in 26, and in craniocervical region in 29, whereas motor symptoms invariably started in the limbs. LID and motor symptoms started in the same body region in less than half of the patients studied. Of the 99 patients studied, 69 had LID spread to at least another body region during the course of their disease. In this group, clinical examination yielded a significantly different distribution of LID and motor symptoms. These findings suggest that the onset and spread of LID and motor symptoms may follow different anatomical patterns. © 2009 Movement Disorder Society

Url:
DOI: 10.1002/mds.22703

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ISTEX:BB4F3066149608A09947959E0C27693D79F5B9B4

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<keyword xml:id="kwd1">Parkinson disease</keyword>
<keyword xml:id="kwd2">dyskinesias</keyword>
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<sc>L</sc>
‐dopa</keyword>
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<p>We retrospectively investigated in consecutive Parkinson's disease (PD) outpatients the relationship between the body region in which LID first appeared and the body region where Parkinsonian motor symptoms started. We also studied the spread of LID and motor symptoms to other body parts during the progression of PD. Of the 307 PD patients investigated, 99 with LID were enrolled in the study. In these 99 patients, LID started unilaterally in the limbs in 44, bilaterally in the limbs in 26, and in craniocervical region in 29, whereas motor symptoms invariably started in the limbs. LID and motor symptoms started in the same body region in less than half of the patients studied. Of the 99 patients studied, 69 had LID spread to at least another body region during the course of their disease. In this group, clinical examination yielded a significantly different distribution of LID and motor symptoms. These findings suggest that the onset and spread of LID and motor symptoms may follow different anatomical patterns. © 2009 Movement Disorder Society</p>
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<title>Onset and spread of dyskinesias and motor symptoms in Parkinson's disease</title>
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<namePart type="given">Giovanni</namePart>
<namePart type="family">Fabbrini</namePart>
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<affiliation>Department of Neurological Sciences and Neuromed Institute, Sapienza University of Rome, Rome, Italy</affiliation>
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<name type="personal">
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<affiliation>Department of Neurological and Psychiatric Sciences, University of Bari, Bari, Italy</affiliation>
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<name type="personal">
<namePart type="given">Carlo</namePart>
<namePart type="family">Colosimo</namePart>
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<affiliation>Department of Neurological Sciences and Neuromed Institute, Sapienza University of Rome, Rome, Italy</affiliation>
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<namePart type="given">Antonio</namePart>
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<affiliation>Department of Neurological Sciences and Neuromed Institute, Sapienza University of Rome, Rome, Italy</affiliation>
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<affiliation>Department of Neurological Sciences and Neuromed Institute, Sapienza University of Rome, Rome, Italy</affiliation>
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<affiliation>Department of Neurological Sciences and Neuromed Institute, Sapienza University of Rome, Rome, Italy</affiliation>
<description>Correspondence: Department of Neurological Sciences, Neuromed Institute, Sapienza University of Rome, Viale dell'Università 30, Rome 00185, Italy</description>
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<abstract lang="en">We retrospectively investigated in consecutive Parkinson's disease (PD) outpatients the relationship between the body region in which LID first appeared and the body region where Parkinsonian motor symptoms started. We also studied the spread of LID and motor symptoms to other body parts during the progression of PD. Of the 307 PD patients investigated, 99 with LID were enrolled in the study. In these 99 patients, LID started unilaterally in the limbs in 44, bilaterally in the limbs in 26, and in craniocervical region in 29, whereas motor symptoms invariably started in the limbs. LID and motor symptoms started in the same body region in less than half of the patients studied. Of the 99 patients studied, 69 had LID spread to at least another body region during the course of their disease. In this group, clinical examination yielded a significantly different distribution of LID and motor symptoms. These findings suggest that the onset and spread of LID and motor symptoms may follow different anatomical patterns. © 2009 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: There are no funding sources and potential conflicts of interest from none of the authors who relate to the research covered in this article.</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson disease</topic>
<topic>dyskinesias</topic>
<topic>L‐dopa</topic>
<topic>basal ganglia</topic>
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<title>Movement Disorders</title>
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<title>Mov. Disord.</title>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2009</date>
<detail type="volume">
<caption>vol.</caption>
<number>24</number>
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<detail type="issue">
<caption>no.</caption>
<number>14</number>
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<start>2091</start>
<end>2096</end>
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<identifier type="DOI">10.1002/mds.22703</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 Movement Disorder Society</accessCondition>
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