Dementia in idiopathic Parkinson's disease
Identifieur interne : 002979 ( Main/Exploration ); précédent : 002978; suivant : 002980Dementia in idiopathic Parkinson's disease
Auteurs : S. Elizan [États-Unis] ; Hava Sroka [Israël] ; H. Maker [États-Unis] ; H. Smith [États-Unis] ; D. Yahr [États-Unis]Source :
- Journal of Neural Transmission [ 0300-9564 ] ; 1986-09-01.
Abstract
Summary: A series of 203 patients with primary Parkinson's disease treated with L-DOPA, with adequate neurological documentation of mental status at serial intervals during their illness, constitutes the study population. Based on the results of the latest neurological examination, slightly less than one-third (29%) had mental impairment assessed as neurologically significant. Of the eleven clinical variables analysed (Cox regression analysis) for potential influence on the occurrence of an organic mental syndrome, four had a statistically significant effect: (1) the stage of disease at initial neurological examination; (2) the occurrence of acute confusional states; (3) the years of Parkinson's prior to L-DOPA; and (4) the total duration of L-DOPA therapy. The pathogenesis of dementia in this subgroup of Parkinson's disease is discussed.
Url:
DOI: 10.1007/BF01249089
Affiliations:
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<front><div type="abstract" xml:lang="en">Summary: A series of 203 patients with primary Parkinson's disease treated with L-DOPA, with adequate neurological documentation of mental status at serial intervals during their illness, constitutes the study population. Based on the results of the latest neurological examination, slightly less than one-third (29%) had mental impairment assessed as neurologically significant. Of the eleven clinical variables analysed (Cox regression analysis) for potential influence on the occurrence of an organic mental syndrome, four had a statistically significant effect: (1) the stage of disease at initial neurological examination; (2) the occurrence of acute confusional states; (3) the years of Parkinson's prior to L-DOPA; and (4) the total duration of L-DOPA therapy. The pathogenesis of dementia in this subgroup of Parkinson's disease is discussed.</div>
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