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Total sleep deprivation and Parkinson disease
Bertolucci PH, Andrade LA, Lima JG, Carlini EA
Arq Neuropsiquiatr 45(3) 224-230 (1987)
Twelve Parkinson disease (PD) patients were submitted to a single night of
total sleep deprivation (SD). Disease duration had a median of 5.1 years and
all were using either anticholinergic or L-Dopa or the combination of both
drugs. After SD there was an improvement of rigidity, bradykinesia, gait and
posture disturbances and functional disability that remained significant for
2 weeks. No effect was observed on tremor. Concerning depressive symptoms, a
significant difference was noted, that remained for one week. These results
suggest that SD may be an useful procedure to improve PD symptomatology. It
is discussed a possible change of dopaminergic receptors, induced by SD, to
explain the improvement.

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