Contemporary approaches to the pharmacotherapeutic management of Parkinson's disease: an overview.

Abstract:

:A number of unresolved issues complicate the effective management of patients with Parkinson's disease (PD). Chief among these is the role of neuroprotective versus symptomatic pharmacologic interventions. Until the etiology of PD is further defined, consensus on appropriate management of this illness is unlikely. Clinicians may best serve their patients by taking a pragmatic approach to the treatment of PD that utilizes potentially beneficial interventions in eligible patients. Such an approach would incorporate possible neuroprotective (e.g., selegiline, dopamine agonists, sustained-release levodopa) and dopamine-sparing (e.g., combination levodopa/dopamine agonist therapy) strategies whenever possible while retaining adequate symptomatic control.

journal_name

Neurology

journal_title

Neurology

authors

Stern MB

doi

10.1212/wnl.49.1_suppl_1.s2

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

S2-9

issue

1 Suppl 1

eissn

0028-3878

issn

1526-632X

journal_volume

49

pub_type

杂志文章,评审
  • A distinctive autosomal dominant vacuolar neuromyopathy linked to 19p13.

    abstract:OBJECTIVE:To characterize a kindred with a distinctive autosomal dominant neuromuscular disorder. BACKGROUND:The authors studied a large Italian family affected by a progressive neuromyopathy. Ten individuals over three generations were affected. The disease was characterized by onset from the late teens to early 50s ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.4.830

    authors: Servidei S,Capon F,Spinazzola A,Mirabella M,Semprini S,de Rosa G,Gennarelli M,Sangiuolo F,Ricci E,Mohrenweiser HW,Dallapiccola B,Tonali P,Novelli G

    更新日期:1999-09-11 00:00:00

  • Relationship of motor symptoms to intellectual deficits in Parkinson disease.

    abstract::We studied 60 patients with idiopathic Parkinson disease with motor and neuropsychologic tests to ascertain whether the severity of motor symptoms was associated with the degree of neuropsychologic deficity. Significant correlations were found between the severity of brady kinesia and impaired performance on tests ass...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.32.2.133

    authors: Mortimer JA,Pirozzolo FJ,Hansch EC,Webster DD

    更新日期:1982-02-01 00:00:00

  • Automated CT perfusion imaging for acute ischemic stroke: Pearls and pitfalls for real-world use.

    abstract::Recent positive trials have thrust acute cerebral perfusion imaging into the routine evaluation of acute ischemic stroke. Updated guidelines state that in patients with anterior circulation large vessel occlusions presenting beyond 6 hours from time last known well, advanced imaging selection including perfusion-based...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0000000000008481

    authors: Vagal A,Wintermark M,Nael K,Bivard A,Parsons M,Grossman AW,Khatri P

    更新日期:2019-11-12 00:00:00

  • Hemiparkinsonism as a late complication of hemiatrophy: a new syndrome.

    abstract::Four men with evidence of hemiatrophy resulting from early-life hemispheral injury developed unilateral hemiparkinsonism on the side of the hemiatrophy. The parkinsonism began in the fourth decade and has remained unilateral for 5 to 35 years. In all four patients, the parkinsonism was slowly progressive, but the clin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.5.625

    authors: Klawans HL

    更新日期:1981-05-01 00:00:00

  • Retinal pathology in idiopathic moyamoya angiopathy detected by optical coherence tomography.

    abstract:OBJECTIVE:To investigate whether patients with moyamoya angiopathy without obvious retinal pathologies such as retinal infarctions or the congenital morning glory anomaly may have subtle subclinical retinal changes. METHODS:In this cross-sectional study, spectral domain optical coherence tomography was used to analyze...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001832

    authors: Albrecht P,Blasberg C,Lukas S,Ringelstein M,Müller AK,Harmel J,Kadas EM,Finis D,Guthoff R,Aktas O,Hartung HP,Paul F,Brandt AU,Berlit P,Methner A,Kraemer M

    更新日期:2015-08-11 00:00:00

  • Friedreich's ataxia GAA repeat expansion in patients with recessive or sporadic ataxia.

    abstract::To explore the clinical heterogeneity associated with the Friedreich's ataxia (FRDA) expanded repeat and provide preliminary guidance for future gene testing in patients suspected of having FRDA, we tested patients with typical FRDA (group I), late-onset FRDA or FRDA with retained reflexes (group II), as well as those...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.4.1004

    authors: Geschwind DH,Perlman S,Grody WW,Telatar M,Montermini L,Pandolfo M,Gatti RA

    更新日期:1997-10-01 00:00:00

  • Root stimulation studies in the evaluation of patients with motor neuron disease.

    abstract::Nerve root stimulation may be employed in patients with motor neuron disease (MND) to rule out motor neuropathy with conduction block. The diagnostic utility of these studies is unknown, in part because the range of amplitude changes across nerve root segments in patients with active neuronal degeneration has not been...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.6.1907

    authors: Raynor EM,Shefner JM,Ross MH,Logigian EL,Hinchey JA

    更新日期:1998-06-01 00:00:00

  • Antibodies to brain antigens following stroke.

    abstract::Cerebral necrosis following stroke exposes brain antigens to the immune system, potentially initiating an antibody response. The authors measured levels of antibodies to specific neuronal antigens, neurofilaments (NF), and a ubiquitous antigen, cardiolipin (CL), in 45 patients following an acute first-ever stroke, wit...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.4.529

    authors: Bornstein NM,Aronovich B,Korczyn AD,Shavit S,Michaelson DM,Chapman J

    更新日期:2001-02-27 00:00:00

  • Quantitation of herpes simplex virus type 1 DNA in cells of cerebrospinal fluid of patients with herpes simplex virus encephalitis.

    abstract::We used a nested polymerase chain reaction assay to quantitate the number of viral copies in cells of CSF of eight patients with herpes simplex virus encephalitis (HSVE). The viral load was monitored in serial CSF samples during the course of disease and correlated to clinical symptoms, radiologic manifestations, effi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.5.1341

    authors: Wildemann B,Ehrhart K,Storch-Hagenlocher B,Meyding-Lamadé U,Steinvorth S,Hacke W,Haas J

    更新日期:1997-05-01 00:00:00

  • SPECT imaging of the dopamine transporter in juvenile-onset dystonia.

    abstract::Juvenile-onset dystonia that improves after levodopa may occur in both dopa-responsive dystonia (DRD) and juvenile parkinsonism (JP), clinically similar conditions with different prognoses and management goals. The authors show normal striatal uptake of the dopamine transporter ligand FP-CIT with SPECT in a clinically...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.2.266

    authors: O'Sullivan JD,Costa DC,Gacinovic S,Lees AJ

    更新日期:2001-01-23 00:00:00

  • Plasma tau correlates with basal forebrain atrophy rates in people at risk for Alzheimer disease.

    abstract:OBJECTIVE:To investigate whether baseline concentrations of plasma total tau (t-tau) and neurofilament light (NfL) chain proteins are associated with annual percent change (APC) of the basal forebrain cholinergic system (BFCS) in cognitively intact older adults at risk for Alzheimer disease (AD). METHODS:This was a la...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008696

    authors: Cavedo E,Lista S,Houot M,Vergallo A,Grothe MJ,Teipel S,Zetterberg H,Blennow K,Habert MO,Potier MC,Dubois B,Hampel H,INSIGHT-preAD Study Group.,Alzheimer Precision Medicine Initiative

    更新日期:2020-01-07 00:00:00

  • Norms for the Mini-Mental State Examination in a healthy population.

    abstract:BACKGROUND:Although the Mini-Mental State Examination (MMSE) is widely used in clinical practice, few norms exist for healthy populations covering a broad range of ages. OBJECTIVE:To obtain MMSE norms specific for age, gender, and education in healthy adults. METHODS:From the population registers of seven communities...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.2.315

    authors: Grigoletto F,Zappalà G,Anderson DW,Lebowitz BD

    更新日期:1999-07-22 00:00:00

  • Age-induced cognitive disturbances in Parkinson's disease.

    abstract::We investigated the influence of age on the occurrence of cognitive disturbances in Parkinson's disease (PD), by evaluating neuropsychological performances in early- and late-onset groups of patients (less than 45 and greater than 65 years, respectively), individually paired for all the variables of parkinsonism and c...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.1.38

    authors: Dubois B,Pillon B,Sternic N,Lhermitte F,Agid Y

    更新日期:1990-01-01 00:00:00

  • Is there a neurologist on this flight?

    abstract:OBJECTIVE:To analyze the frequency of neurologic events during commercial airline flights and to assess whether onboard emergency medical kits are adequate for in-flight neurologic emergencies. METHODS:Collaboration of the Mayo Clinic's Departments of Emergency Medicine and Medical Transportation Service and the Divis...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.58.12.1739

    authors: Sirven JI,Claypool DW,Sahs KL,Wingerchuk DM,Bortz JJ,Drazkowski J,Caselli R,Zanick D

    更新日期:2002-06-25 00:00:00

  • Friedreich's disease: V. Variant form with vitamin E deficiency and normal fat absorption.

    abstract::A 30-year-old woman was thought to have Friedreich's disease because of progressive ataxia, dysarthria, and titubation from age 3 years. Her diet was normal, and there were neither symptoms nor laboratory evidence of liver disease or fat malabsorption. Serum vitamin E content and the ratio of serum vitamin E to total ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.1.68

    authors: Stumpf DA,Sokol R,Bettis D,Neville H,Ringel S,Angelini C,Bell R

    更新日期:1987-01-01 00:00:00

  • Lifetime cumulative incidence of dementia in a community-dwelling elderly population in Japan.

    abstract:OBJECTIVE:To estimate the lifetime cumulative incidence of dementia and its subtypes from a community-dwelling elderly population in Japan. METHODS:A total of 1,193 community-dwelling Japanese individuals without dementia, aged 60 years or older, were followed up prospectively for 17 years. The cumulative incidence of...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009917

    authors: Yoshida D,Ohara T,Hata J,Shibata M,Hirakawa Y,Honda T,Furuta Y,Oishi E,Sakata S,Kanba S,Kitazono T,Ninomiya T

    更新日期:2020-08-04 00:00:00

  • Episodic paroxysmal hemicrania: two new cases and a literature review.

    abstract::Episodic paroxysmal hemicrania (EPH) is a rare disorder characterized by discrete bouts of hemicranial headache separated by headache-free remissions. Although EPH resembles episodic cluster headache in the location and quality of pain as well as the pattern of associated autonomic features, it is distinguished by the...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.42.5.964

    authors: Newman LC,Gordon ML,Lipton RB,Kanner R,Solomon S

    更新日期:1992-05-01 00:00:00

  • Multiple sclerosis: magnetic resonance imaging, evoked responses, and spinal fluid electrophoresis.

    abstract::Magnetic resonance images (MRI), evoked responses (ER), and CSF findings were compared in 39 patients with possible, probable, or definite MS. MRI disclosed multiple lesions (72%) more often than ERs (55%) in the total group of patients. In possible MS, MRI showed multiple lesions in 71%, and ER abnormalities were fou...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.6.828

    authors: Farlow MR,Markand ON,Edwards MK,Stevens JC,Kolar OJ

    更新日期:1986-06-01 00:00:00

  • A dose-comparison trial of topiramate as monotherapy in recently diagnosed partial epilepsy.

    abstract:OBJECTIVE:To evaluate topiramate as monotherapy in adults and children with recently diagnosed, localization-related epilepsy, comparing two dosages of topiramate in a multicenter, randomized, double-blind study. METHODS:Adults and children (>/=3 years of age) were eligible if the maximum interval since epilepsy diagn...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/01.wnl.0000048200.12663.bc

    authors: Gilliam FG,Veloso F,Bomhof MA,Gazda SK,Biton V,Ter Bruggen JP,Neto W,Bailey C,Pledger G,Wu SC

    更新日期:2003-01-28 00:00:00

  • Exercise tolerance in carnitine palmitoyltransferase II deficiency with IV and oral glucose.

    abstract:BACKGROUND:Patients with carnitine palmitoyltransferase II (CPT II) deficiency often experience muscle pain and myoglobinuria during prolonged exercise because of impaired oxidation of long-chain fatty acids. OBJECTIVE:To investigate whether IV or oral glucose can improve exercise tolerance in CPT II deficiency. METH...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.59.7.1046

    authors: Ørngreen MC,Olsen DB,Vissing J

    更新日期:2002-10-08 00:00:00

  • Regional pattern of white matter microstructural changes in normal aging, MCI, and AD.

    abstract:OBJECTIVE:To cross-sectionally compare the regional white matter fractional anisotropy (FA) of cognitively normal (CN) older individuals and patients with mild cognitive impairment (MCI) and Alzheimer disease (AD), separately focusing on the normal-appearing white matter (NAWM) and white matter hyperintensities (WMH), ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181c33afb

    authors: Lee DY,Fletcher E,Martinez O,Ortega M,Zozulya N,Kim J,Tran J,Buonocore M,Carmichael O,DeCarli C

    更新日期:2009-11-24 00:00:00

  • Association of retinal layer measurements and adult cognitive function: A population-based study.

    abstract:OBJECTIVE:To quantify the associations of peripapillary retinal nerve fiber layer (pRNFL) thickness and macular ganglion cell layer (mGCL) volume with cognitive functioning and to investigate how demographic and vascular health factors affect these associations in a population-based sample of adults. METHODS:The sampl...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010146

    authors: Ward DD,Mauschitz MM,Bönniger MM,Merten N,Finger RP,Breteler MMB

    更新日期:2020-09-01 00:00:00

  • A study of congenital nystagmus: waveforms.

    abstract::Eighteen patients with congenital nystagmus were studied with the techniques of electronystagmography and computer analysis. We found several complex wave forms of congenital nystagmus in the primary position of gaze above those of jerk and pendular nystagmus as defined clinically. An etiologic classification of motor...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.4.326

    authors: Yee RD,Wong EK,Baloh RW,Honrubia V

    更新日期:1976-04-01 00:00:00

  • Near-field amplification of antithrombotic effects of dipyridamole through vessel wall cells.

    abstract::Many studies have demonstrated that dipyridamole is not purely an antiplatelet agent but also exerts its antithrombotic properties through the vessel wall. Using a laboratory model in which bovine endothelial cells are seeded to form a subendothelial matrix (SEM), investigators have shown that dipyridamole enhances th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.57.suppl_2.s20

    authors: Eisert WG

    更新日期:2001-01-01 00:00:00

  • How experienced community neurologists make diagnoses during clinical encounters.

    abstract::Study of diagnostic practice is necessary to optimize neurologists' clinical performance and ensure patient safety. To our knowledge, this report is the first set of systematic observations of diagnostic practices of community neurologists in their clinics. The study consisted of six 2-week periods of in situ observat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182a840c7

    authors: Dhand A,Engstrom J,Dhaliwal G

    更新日期:2013-10-15 00:00:00

  • Combined (1)H MR spectroscopy and diffusion-weighted MRI improves the prediction of stroke outcome.

    abstract:BACKGROUND:The prognostic value of the biochemical changes seen with proton MR spectroscopy (1H MRS) in ischemic stroke was examined. Acute diffusion-weighted imaging (DWI) was used to identify regions of ischemia for 1H MRS voxel localization. METHODS:Nineteen patients had 36 1H MRS studies, 13 patients acutely (mean...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.55.4.498

    authors: Parsons MW,Li T,Barber PA,Yang Q,Darby DG,Desmond PM,Gerraty RP,Tress BM,Davis SM

    更新日期:2000-08-22 00:00:00

  • Prospective natural history study of C9orf72 ALS clinical characteristics and biomarkers.

    abstract:OBJECTIVE:To define the natural history of the C9orf72 amyotrophic lateral sclerosis (C9ALS) patient population, develop disease biomarkers, and characterize patient pathologies. METHODS:We prospectively collected clinical and demographic data from 116 symptomatic C9ALS and 12 non-amyotrophic lateral sclerosis (ALS) f...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008359

    authors: Cammack AJ,Atassi N,Hyman T,van den Berg LH,Harms M,Baloh RH,Brown RH,van Es MA,Veldink JH,de Vries BS,Rothstein JD,Drain C,Jockel-Balsarotti J,Malcolm A,Boodram S,Salter A,Wightman N,Yu H,Sherman AV,Esparza TJ,Mc

    更新日期:2019-10-22 00:00:00

  • A human brain network derived from coma-causing brainstem lesions.

    abstract:OBJECTIVE:To characterize a brainstem location specific to coma-causing lesions, and its functional connectivity network. METHODS:We compared 12 coma-causing brainstem lesions to 24 control brainstem lesions using voxel-based lesion-symptom mapping in a case-control design to identify a site significantly associated w...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003404

    authors: Fischer DB,Boes AD,Demertzi A,Evrard HC,Laureys S,Edlow BL,Liu H,Saper CB,Pascual-Leone A,Fox MD,Geerling JC

    更新日期:2016-12-06 00:00:00

  • Central nervous system disease in patients with systemic lupus erythematosus.

    abstract::Central nervous system (CNS) dysfunction in patients with systemic lupus erythematosus (SLE) is highly variable, although it is often described under a single heading of "neuropsychiatric" or "CNS" SLE. To clarify these CNS abnormalities, we studied 91 lupus patients, 63 of whom had CNS symptoms or signs, over 599 pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.9.1649

    authors: Futrell N,Schultz LR,Millikan C

    更新日期:1992-09-01 00:00:00

  • Genetic risk variants in African Americans with multiple sclerosis.

    abstract:OBJECTIVES:To assess the association of established multiple sclerosis (MS) risk variants in 3,254 African Americans (1,162 cases and 2,092 controls). METHODS:Human leukocyte antigen (HLA)-DRB1, HLA-DQB1, and HLA-A alleles were typed by molecular techniques. Single nucleotide polymorphism (SNP) genotyping was conducte...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31829bfe2f

    authors: Isobe N,Gourraud PA,Harbo HF,Caillier SJ,Santaniello A,Khankhanian P,Maiers M,Spellman S,Cereb N,Yang S,Pando MJ,Piccio L,Cross AH,De Jager PL,Cree BA,Hauser SL,Oksenberg JR

    更新日期:2013-07-16 00:00:00