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The Non-motor Symptom Complex of Parkinson's Disease: a Comprehensive Assessment is Essential

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Specialty Neurology
Date 2005 Jul 1
PMID 15987611
Citations 60
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Abstract

Parkinson's disease (PD) is a progressive disease that usually affects the motor system but is also associated with a non-motor symptom (NMS) complex that ranges from dribbling saliva, constipation, depression, sleep disorders, apathy, hallucinations, and dementia. These features contribute significantly to morbidity and institutionalization, more than quadrupling the cost of care. Furthermore, recent evidence suggests that NMS such as constipation, olfaction, rapid eye movement behavior disorder, fatigue, and depression may be markers of a preclinical stage of PD. PD-NMS are not well recognized in clinical practice and part of the reason is the lack of any instrument that aims to assess the complex range of NMS of PD in a unified and integrated manner. Recently, an international, multidisciplinary PD-NMS group has developed an integrated questionnaire and scale to assess NMS of PD in a comprehensive manner. This will help improve care and treatment of PD in the future.

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References
1.
Karachi C, Yelnik J, Tande D, Tremblay L, Hirsch E, Francois C . The pallidosubthalamic projection: an anatomical substrate for nonmotor functions of the subthalamic nucleus in primates. Mov Disord. 2004; 20(2):172-80. DOI: 10.1002/mds.20302. View

2.
Okun M, McDonald W, DeLong M . Refractory nonmotor symptoms in male patients with Parkinson disease due to testosterone deficiency: a common unrecognized comorbidity. Arch Neurol. 2002; 59(5):807-11. DOI: 10.1001/archneur.59.5.807. View

3.
Johns M . A new method for measuring daytime sleepiness: the Epworth sleepiness scale. Sleep. 1991; 14(6):540-5. DOI: 10.1093/sleep/14.6.540. View

4.
Ramaker C, Marinus J, Stiggelbout A, Van Hilten B . Systematic evaluation of rating scales for impairment and disability in Parkinson's disease. Mov Disord. 2002; 17(5):867-76. DOI: 10.1002/mds.10248. View

5.
Grandas F, Iranzo A . Nocturnal problems occurring in Parkinson's disease. Neurology. 2004; 63(8 Suppl 3):S8-11. DOI: 10.1212/wnl.63.8_suppl_3.s8. View