Abstract:
BACKGROUND:Sex and blood level of sex hormones play a key role not only in the susceptibility to develop Parkinson's disease (PD) but also influence the natural course of the disease. The aim of this study was to compare reproductive lifespan events in females affected with PD and in "non-parkinsonian" age matched subjects and to evaluate whether the whole life endogenous oestrogen level is associated with variables describing the course of the disease. MATERIALS AND METHODS:Reproductive lifespan, age at menarche, age at menopause, gynaecological interventions and parity were compared in 76 women with idiopathic PD and in the age-adjusted control group of 74 subjects. Affected women underwent neurological and psychological assessment. Data were analysed using Mann-Whitney U Test and Spearman Rank Correlation Test. RESULTS:Women affected with PD had a shorter reproductive lifespan and experienced final menstruation earlier than the control group. Early menopause was reported by 24% of the patients and only by 16% of the control subjects. Parkinsonian women reported more commonly the history of surgical menopause. Duration of reproductive lifespan, age at menopause and the type of menopause influenced both motor and cognitive functioning of patients. CONCLUSIONS:There may be a relationship between the lifetime average endogenous oestrogen level and the susceptibility to develop PD. Longer reproductive lifespan resulting in higher "whole life" female sex steroids concentrations may exert a protective effect on central nervous system, resulting in milder course of the disease.
journal_name
Neurol Neurochir Poljournal_title
Neurologia i neurochirurgia polskaauthors
Nitkowska M,Czyżyk M,Friedman Adoi
10.1016/j.pjnns.2014.08.004subject
Has Abstractpub_date
2014-01-01 00:00:00pages
322-7issue
5eissn
0028-3843issn
1897-4260pii
S0028-3843(14)00147-9journal_volume
48pub_type
杂志文章abstract::For the study 17 patients aged 26-55 years were qualified after ineffective treatment with carbamazepine and/or valproate for simple partial, complex partial or secondary generalized seizures. The criterion of resistance to treatment was the occurrence of four or more seizures monthly. The treatment with lamotrigine w...
journal_title:Neurologia i neurochirurgia polska
pub_type: 临床试验,杂志文章
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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