Clinical Features, Pathophysiology, and Treatment of Levodopa-Induced Dyskinesias in Parkinson’s Disease
Author(s) -
Jorge Guridi,
R. Reina Gonzalez,
José Á. Obeso
Publication year - 2012
Publication title -
parkinson s disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.748
H-Index - 46
eISSN - 2090-8083
pISSN - 2042-0080
DOI - 10.1155/2012/943159
Subject(s) - levodopa , pathophysiology , dyskinesia , parkinson's disease , movement disorders , disease , medicine , motor symptoms , physical medicine and rehabilitation , neuroscience , psychology
Dyskinetic disorders are characterized by excess of motor activity that may interfere with normal movement control. In patients with Parkinson's disease, the chronic levodopa treatment induces dyskinetic movements known as levodopa-induced dyskinesias (LID). This paper analyzed the pathophysiology, clinical manifestations, pharmacological treatments, and surgical procedures to treat hyperkinetic disorders. Surgery is currently the only treatment available for Parkinson's disease that may improve both parkinsonian motor syndrome and LID. However, this paper shows the different mechanisms involved are not well understood.
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