Non-motor symptoms of Parkinson's disease

被引:42
作者
Hou, Jyh-Gong Gabriel [1 ]
Lai, Eugene C. [1 ]
机构
[1] Baylor Coll Med, Parkinsons Dis Res Educ & Clin Ctr, Michael E DeBakey VA Med Ctr, Houston, TX 77030 USA
关键词
dementia; depression; dysautonomia; non-motor symptoms; Parkinson's disease; psychosis; sleep; RESTLESS LEGS SYNDROME; EXCESSIVE DAYTIME SLEEPINESS; SILDENAFIL CITRATE VIAGRA; CONTROLLED CLINICAL-TRIAL; MULTIPLE SYSTEM ATROPHY; DOUBLE-BLIND; ORTHOSTATIC HYPOTENSION; AUTONOMIC DYSFUNCTION; LEWY BODIES; ERECTILE DYSFUNCTION;
D O I
10.1016/S1873-9598(08)70024-3
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
In addition to the typical motor symptoms (resting tremor, cogwheel rigidity, bradykinesia, postural instability) of Parkinson's disease (PD), non-motor symptoms are sources of considerable burden in people with PD, especially in elderly patients. The usual non-motor symptoms include cognitive declines, psychiatric disturbances (depression, psychosis, impulse control), autonomic failures (gastrointestinal, cardiovascular, urinary, sexual ability, thermoregulation), sleep difficulties, and pain syndrome. This review article discusses the characteristics, pathophysiology, epidemiology, and management of these symptoms.
引用
收藏
页码:53 / 64
页数:12
相关论文
共 126 条
[1]   Prevalence and characteristics of dementia in Parkinson disease - An 8-year prospective study [J].
Aarsland, D ;
Andersen, K ;
Larsen, JP ;
Lolk, A ;
Kragh-Sorensen, P .
ARCHIVES OF NEUROLOGY, 2003, 60 (03) :387-392
[2]  
Aarsland D, 1999, INT J GERIATR PSYCH, V14, P866, DOI 10.1002/(SICI)1099-1166(199910)14:10<866::AID-GPS38>3.3.CO
[3]  
2-Q
[4]  
Aarsland D, 1997, CONVULSIVE THER, V13, P274
[5]   Nonmotor complications in Parkinson's disease [J].
Adler, CH .
MOVEMENT DISORDERS, 2005, 20 :S23-S29
[6]   Randomized trial of modafinil for treating subjective daytime sleepiness in patients with Parkinson's disease [J].
Adler, CH ;
Caviness, JN ;
Hentz, JG ;
Lind, M ;
Tiede, J .
MOVEMENT DISORDERS, 2003, 18 (03) :287-293
[7]   PARALLEL ORGANIZATION OF FUNCTIONALLY SEGREGATED CIRCUITS LINKING BASAL GANGLIA AND CORTEX [J].
ALEXANDER, GE ;
DELONG, MR ;
STRICK, PL .
ANNUAL REVIEW OF NEUROSCIENCE, 1986, 9 :357-381
[8]   L-Dopa-induced sedation:: a double-blind cross-over controlled study versus triazolam and placebo in healthy volunteers [J].
Andreu, N ;
Chalé, JJ ;
Senard, JM ;
Thalamas, C ;
Montastruc, JL ;
Rascol, O .
CLINICAL NEUROPHARMACOLOGY, 1999, 22 (01) :15-23
[9]   Treatment of nocturnal disturbances and excessive daytime sleepiness in Parkinson's disease [J].
Barone, P ;
Amboni, M ;
Vitale, C ;
Bonavita, V .
NEUROLOGY, 2004, 63 (08) :S35-S38
[10]  
Benarroch E E., 1999, Autonomic failure, V4th, P37