Complications and limitations of drug therapy for Parkinson's disease.

Abstract:

:Levodopa is the most effective drug treatment for Parkinson's disease (PD). However, its chronic use is associated with dyskinesia, motor fluctuations, and hallucinations. There are various approaches to the management of levodopa complications. Motor fluctuations can be treated with a long-acting levodopa preparation, liquid levodopa, or the addition of dopamine agonists or catechol-O-methyl transferase (COMT) inhibitors. Drugs that may improve levodopa-induced psychiatric complications are olanzapine, clozapine, and ondansetron. A large proportion of patients with long-standing PD cannot be controlled adequately with the available pharmacologic tools and are candidates for surgery. Pallidotomy and deep brain stimulation (DBS) of the globus pallidum pars interna and the subthalamic nucleus are currently the preferred surgical approaches. Appropriate patient selection becomes a critical issue for achieving the best surgical results.

journal_name

Neurology

journal_title

Neurology

authors

Jankovic J

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

S2-6

issue

12 Suppl 6

eissn

0028-3878

issn

1526-632X

journal_volume

55

pub_type

杂志文章,评审
  • Characteristics and predictors of 7- and 30-day hospital readmissions to pediatric neurology.

    abstract:OBJECTIVE:Hospital readmission is an important quality improvement measure that has not been well-studied in pediatric neurology. We examined predictors of 7-day and 30-day readmissions for pediatric patients hospitalized with a neurologic diagnosis. METHODS:This was a retrospective study of hospital readmission rates...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007280

    authors: Hong A,Shah Y,Singh K,Karkare S,Kothare S

    更新日期:2019-04-16 00:00:00

  • Acquired aphasia with convulsive disorder: course and prognosis.

    abstract::Acquired aphasia with convulsive disorder is an unusual condition in childhood, characterized by loss of language function associated with a paroxysmal electroencephalogram. To determine the course and outcome of this disorder, we evaluated nine patients 10 to 28 years after the onset of aphasia. Four patients had rec...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.30.5.524

    authors: Mantovani JF,Landau WM

    更新日期:1980-05-01 00:00:00

  • High risk of postpartum relapses in neuromyelitis optica spectrum disorder.

    abstract:OBJECTIVE:To study the effect of pregnancy on the frequency of neuromyelitis optica spectrum disorder (NMOSD) relapse and evaluate rates of pregnancy-related complications in an international multicenter setting. METHODS:We administered a standardized survey to 217 women with NMOSD from 7 medical centers and reviewed ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000004681

    authors: Klawiter EC,Bove R,Elsone L,Alvarez E,Borisow N,Cortez M,Mateen F,Mealy MA,Sorum J,Mutch K,Tobyne SM,Ruprecht K,Buckle G,Levy M,Wingerchuk D,Paul F,Cross AH,Jacobs A,Chitnis T,Weinshenker B

    更新日期:2017-11-28 00:00:00

  • B and T lymphocytes in man. III. B, t, and "null" lymphocytes in multiple sclerosis.

    abstract::T, B, and "null" lymphocytes were determined in peripheral blood obtained from 24 control subjects and 15 multiple sclerosis patients. The total number of lymphocytes and T lymphocytes were reduced significantly in multiple sclerosis patients as compared with those of controls. Although the percentage of B lymphocytes...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.26.10.997

    authors: Reddy MM,Goh KO

    更新日期:1976-10-01 00:00:00

  • TENS for the treatment of writer's cramp dystonia: a randomized, placebo-controlled study.

    abstract::Manipulation of afferent inputs may temporarily modulate dystonic spasms. Ten patients with writer's cramp were enrolled in a double-blind, randomized, crossover study in which the effects of transcutaneous electrical stimulation (TENS) and placebo treatment were compared. Patients were evaluated using four measures o...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.WNL.0000163851.70927.7E

    authors: Tinazzi M,Farina S,Bhatia K,Fiaschi A,Moretto G,Bertolasi L,Zarattini S,Smania N

    更新日期:2005-06-14 00:00:00

  • Muscle Na+ channelopathies: MRI detects intracellular 23Na accumulation during episodic weakness.

    abstract:BACKGROUND:Muscle channelopathies such as paramyotonia, hyperkalemic periodic paralysis, and potassium-aggravated myotonia are caused by gain-of-function Na+ channel mutations. METHODS:Methods: Implementation of a three-dimensional radial 23Na magnetic resonance (MR) sequence with ultra-short echo times allowed the au...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000233841.75824.0f

    authors: Weber MA,Nielles-Vallespin S,Essig M,Jurkat-Rott K,Kauczor HU,Lehmann-Horn F

    更新日期:2006-10-10 00:00:00

  • Multimodality imaging for improved detection of epileptogenic foci in tuberous sclerosis complex.

    abstract:OBJECTIVE:Using interictal alpha-[11C]methyl-l-tryptophan ([11C]AMT) PET scan, the authors have undertaken a quantitative analysis of all tubers visible on MRI or 2-deoxy-2-[18F]fluoro-d-glucose ([18F]FDG) PET, to determine the relationship between [11C]AMT uptake and epileptic activity on EEG. BACKGROUND:Tuberous scl...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.10.1976

    authors: Asano E,Chugani DC,Muzik O,Shen C,Juhász C,Janisse J,Ager J,Canady A,Shah JR,Shah AK,Watson C,Chugani HT

    更新日期:2000-05-23 00:00:00

  • Cerebrovascular perfusion in marijuana users during a month of monitored abstinence.

    abstract:OBJECTIVE:To determine possible effects of prolonged marijuana use on the cerebrovascular system during a month of monitored abstinence and to assess how the intensity of current use might have influenced cerebrovascular perfusion in these marijuana users. METHOD:The authors recorded blood flow velocity in the anterio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000150882.69371.DD

    authors: Herning RI,Better WE,Tate K,Cadet JL

    更新日期:2005-02-08 00:00:00

  • Gabapentin relieves trigeminal neuralgia in multiple sclerosis patients.

    abstract::This report describes the effectiveness of gabapentin, a recently approved anticonvulsant, in seven patients with MS experiencing trigeminal neuralgia refractory to treatment with conventional medical therapy. Gabapentin relieved pain completely in six and significantly in the seventh patient. Gabapentin may be a valu...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.2.611

    authors: Khan OA

    更新日期:1998-08-01 00:00:00

  • Progressive parkinsonism associated with Rosenthal fibers: senile-onset Alexander's disease?

    abstract::Rosenthal fibers are present in several neurologic disorders. Their occurrence in widespread subependymal, subpial, and perivascular locations is thought to be diagnostic of Alexander's disease, but they have also been reported in rare adult cases. Some of these patients were neurologically intact with severe systemic...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.9.1733

    authors: Friedman JH,Ambler M

    更新日期:1992-09-01 00:00:00

  • Reduced contrast sensitivity in compressive lesions of the anterior visual pathway.

    abstract::A clinical procedure for determining contrast sensitivity was performed on patients with suspected sella area masses. The test consisted of a series of six plates, each containing a bar pattern of fixed sinusoidal spatial frequency in which contrast varies along the length of the bar. Patients with compressive lesions...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.5.550

    authors: Kupersmith MJ,Siegel IM,Carr RE

    更新日期:1981-05-01 00:00:00

  • Neuroimaging abnormalities in adults with sickle cell anemia: associations with cognition.

    abstract:OBJECTIVE:This study was conducted to determine the relationship of frontal lobe cortical thickness and basal ganglia volumes to measures of cognition in adults with sickle cell anemia (SCA). METHODS:Participants included 120 adults with SCA with no history of neurologic dysfunction and 33 healthy controls (HCs). Part...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000000188

    authors: Mackin RS,Insel P,Truran D,Vichinsky EP,Neumayr LD,Armstrong FD,Gold JI,Kesler K,Brewer J,Weiner MW,Neuropsychological Dysfunction and Neuroimaging Adult Sickle Cell Anemia Study Group.

    更新日期:2014-03-11 00:00:00

  • Diagnosis and misdiagnosis of adult neuronal ceroid lipofuscinosis (Kufs disease).

    abstract:OBJECTIVE:To critically re-evaluate cases diagnosed as adult neuronal ceroid lipofuscinosis (ANCL) in order to aid clinicopathologic diagnosis as a route to further gene discovery. METHODS:Through establishment of an international consortium we pooled 47 unsolved cases regarded by referring centers as ANCL. Clinical a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000002943

    authors: Berkovic SF,Staropoli JF,Carpenter S,Oliver KL,Kmoch S,Anderson GW,Damiano JA,Hildebrand MS,Sims KB,Cotman SL,Bahlo M,Smith KR,Cadieux-Dion M,Cossette P,Jedličková I,Přistoupilová A,Mole SE,ANCL Gene Discovery Consortiu

    更新日期:2016-08-09 00:00:00

  • Predictive value of sensory and cognitive evoked potentials for awakening from coma.

    abstract:OBJECTIVES:To determine the prognostic role of late auditory (N100) and cognitive evoked potentials (MMN) for awakening in a cohort of comatose patients categorized by etiology. METHODS:The authors prospectively studied a series of 346 comatose patients. Coma was caused by stroke (n = 125), trauma (n = 96), anoxia (n ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000134670.10384.e2

    authors: Fischer C,Luauté J,Adeleine P,Morlet D

    更新日期:2004-08-24 00:00:00

  • Prospective study of new-onset seizures presenting as status epilepticus in childhood.

    abstract:OBJECTIVE:To characterize children with new-onset seizures presenting as status epilepticus at a tertiary care children's hospital. METHODS:Prospectively collected data were reviewed from a database derived from a mandated critical care pathway. A total of 1,382 patients presented with new-onset seizures between 2001 ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181d0cca2

    authors: Singh RK,Stephens S,Berl MM,Chang T,Brown K,Vezina LG,Gaillard WD

    更新日期:2010-02-23 00:00:00

  • Presynaptic failure of neuromuscular transmission and synaptic remodeling in EA2.

    abstract:OBJECTIVE:To further investigate the basis of abnormal neuromuscular transmission in two patients with congenital myasthenic syndrome associated with episodic ataxia type 2 (EA2) using stimulated single fiber EMG (SFEMG) and in vitro microelectrode studies. METHODS:Two patients with genetically characterized EA2 previ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000099748.41130.9a

    authors: Maselli RA,Wan J,Dunne V,Graves M,Baloh RW,Wollmann RL,Jen J

    更新日期:2003-12-23 00:00:00

  • Normal pressure hydrocephalus, parkinsonism, and primary empty sella--coincidence or cause-effect?

    abstract::The triad of normal-pressure hydrocephalus, parkinsonism, and primary empty sella appeared in a 70-year-old woman. There was dramatic resolution of the extrapyramidal signs and symptoms on treatment with levodopa-carbidopa and ventriculojugular shunt. The syndrome may be the result of several mechanisms, but an altera...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.28.11.1191

    authors: Spagna VA,Maeder MC,Johnson JC,Mazzaferri EL

    更新日期:1978-11-01 00:00:00

  • Practice parameter: evaluation of children and adolescents with recurrent headaches: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society.

    abstract:OBJECTIVE:The Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society develop practice parameters as strategies for patient management based on analysis of evidence. For this parameter, the authors reviewed available evidence on the evaluation of the...

    journal_title:Neurology

    pub_type: 指南,杂志文章,实务指引

    doi:10.1212/wnl.59.4.490

    authors: Lewis DW,Ashwal S,Dahl G,Dorbad D,Hirtz D,Prensky A,Jarjour I,Quality Standards Subcommittee of the American Academy of Neurology.,Practice Committee of the Child Neurology Society.

    更新日期:2002-08-27 00:00:00

  • Altered lysosomal proteins in neural-derived plasma exosomes in preclinical Alzheimer disease.

    abstract:OBJECTIVE:Diverse autolysosomal proteins were quantified in neurally derived blood exosomes from patients with Alzheimer disease (AD) and controls to investigate disordered neuronal autophagy. METHODS:Blood exosomes obtained once from patients with AD (n = 26) or frontotemporal dementia (n = 16), other patients with A...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001702

    authors: Goetzl EJ,Boxer A,Schwartz JB,Abner EL,Petersen RC,Miller BL,Kapogiannis D

    更新日期:2015-07-07 00:00:00

  • Efficacy and safety of eptinezumab in patients with chronic migraine: PROMISE-2.

    abstract:OBJECTIVE:To evaluate the efficacy and safety of eptinezumab, a humanized anti-calcitonin gene-related peptide monoclonal antibody, in the preventive treatment of chronic migraine (CM). METHODS:The Prevention of Migraine via Intravenous ALD403 Safety and Efficacy-2 (PROMISE-2) study was a phase 3, multicenter, randomi...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1212/WNL.0000000000009169

    authors: Lipton RB,Goadsby PJ,Smith J,Schaeffler BA,Biondi DM,Hirman J,Pederson S,Allan B,Cady R

    更新日期:2020-03-31 00:00:00

  • Incidence of dominant spinocerebellar and Friedreich triplet repeats among 361 ataxia families.

    abstract:OBJECTIVE:To determine the incidence of spinocerebellar ataxia (SCA) types 1, 2, 3, 6, and 7 and Friedreich's ataxia (FA) among a large panel of ataxia families. BACKGROUND:The ataxias are a clinically and genetically heterogeneous group of neurodegenerative diseases that variably affect the cerebellum, brainstem, and...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.51.6.1666

    authors: Moseley ML,Benzow KA,Schut LJ,Bird TD,Gomez CM,Barkhaus PE,Blindauer KA,Labuda M,Pandolfo M,Koob MD,Ranum LP

    更新日期:1998-12-01 00:00:00

  • Apolipoprotein E and functional recovery from brain injury following postacute rehabilitation.

    abstract:OBJECTIVE:APOE epsilon4 has been associated with late-onset familial and sporadic AD and delayed recovery from head injury. The authors examined the relationship between functional recovery of patients with head injury and the APOE alleles. METHODS:Thirty-one patients with head injury who had completed the Acute Neuro...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.10.1536

    authors: Lichtman SW,Seliger G,Tycko B,Marder K

    更新日期:2000-11-28 00:00:00

  • Extended use of glatiramer acetate (Copaxone) is well tolerated and maintains its clinical effect on multiple sclerosis relapse rate and degree of disability. Copolymer 1 Multiple Sclerosis Study Group.

    abstract::When 251 relapsing-remitting patients with multiple sclerosis were randomized to receive daily subcutaneous injections of glatiramer acetate, previously called copolymer 1 (Copaxone; n = 125) or placebo (n = 126) for 24 months, there were no laboratory abnormalities associated with glatiramer acetate treatment and it ...

    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/wnl.50.3.701

    authors: Johnson KP,Brooks BR,Cohen JA,Ford CC,Goldstein J,Lisak RP,Myers LW,Panitch HS,Rose JW,Schiffer RB,Vollmer T,Weiner LP,Wolinsky JS

    更新日期:1998-03-01 00:00:00

  • Failure of cholinergic agonist RS-86 to improve cognition and movement in PSP despite effects on sleep.

    abstract::Postmortem studies of patients with progressive supranuclear palsy (PSP) have demonstrated loss of cholinergic neurons in the striatum, nucleus basalis of Meynert, and the pedunculopontine nucleus. These findings suggest that cholinergic drugs might be an effective treatment for this disease. We studied the efficacy o...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.39.2.257

    authors: Foster NL,Aldrich MS,Bluemlein L,White RF,Berent S

    更新日期:1989-02-01 00:00:00

  • Latency and duration of the muscle silent period following transcranial magnetic stimulation in multiple sclerosis, cerebral ischemia, and other upper motoneuron lesions.

    abstract::In muscles with sustained voluntary contraction, EMG activity is transiently inhibited after transcranial magnetic stimulation. We recorded this postexcitatory silent period (SP) at 1.5 times individual stimulus threshold level from the first dorsal interosseus muscle in 65 neurologic patients aged 11 to 80 years. Whe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.5.936

    authors: Haug BA,Kukowski B

    更新日期:1994-05-01 00:00:00

  • Delayed emergence of a parkinsonian disorder in 38% of 29 older men initially diagnosed with idiopathic rapid eye movement sleep behaviour disorder.

    abstract::We report longitudinal data on a group of 29 male patients 50 years of age or older who were initially diagnosed as having idiopathic REM sleep behavior disorder (RBD) after extensive polysomnographic and neurologic evaluations. Thirty-eight percent (11/29) were eventually diagnosed as having a parkinsonian disorder (...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.2.388

    authors: Schenck CH,Bundlie SR,Mahowald MW

    更新日期:1996-02-01 00:00:00

  • Zoonotic bacterial meningitis in human adults.

    abstract:OBJECTIVE:To describe the epidemiology, etiology, clinical characteristics, treatment, outcome, and prevention of zoonotic bacterial meningitis in human adults. METHODS:We identified 16 zoonotic bacteria causing meningitis in adults. RESULTS:Zoonotic bacterial meningitis is uncommon compared to bacterial meningitis c...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/WNL.0000000000003101

    authors: van Samkar A,Brouwer MC,van der Ende A,van de Beek D

    更新日期:2016-09-13 00:00:00

  • The "sinister" Tolosa-Hunt syndrome.

    abstract::Four patients with presumed Tolosa-Hunt syndrome ultimately proved to have a parasellar tumor. All four had manifestations of a cavernous sinus syndrome, normal radiologic and medical investigations, and response to steroid therapy. The Tolosa-Hunt syndrome is a diagnosis of exclusion; many other lesions can simulate ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.2.198

    authors: Spector RH,Fiandaca MS

    更新日期:1986-02-01 00:00:00

  • Quantitative computed tomography in dementia of the Alzheimer type.

    abstract::Men and women with dementia of the Alzheimer type (DAT) had more brain atrophy and ventricular dilatation, measured by quantitative CT, than did respective age- and sex-matched healthy controls (p less than 0.05). The male DAT patients with mild dementia had a larger mean third ventricle volume, whereas male patients ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.12.1563

    authors: Creasey H,Schwartz M,Frederickson H,Haxby JV,Rapoport SI

    更新日期:1986-12-01 00:00:00

  • Weir Mitchell's 1859 demonstration of "a peculiar contraction" produced by a percussion hammer.

    abstract:BACKGROUND:The 1875 publications of Erb and Westphal brought widespread attention to the percussion of muscle stretch reflexes. Although the maneuver may have been observed before 1875, there is little concrete evidence of this. OBJECTIVES:To bring to light an early report of percussion eliciting the muscle stretch re...

    journal_title:Neurology

    pub_type: 传,历史文章,杂志文章

    doi:10.1212/01.wnl.0000305968.03898.fe

    authors: Louis ED

    更新日期:2008-03-18 00:00:00