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More Attention To Non-motor Manifestations Of Parkinson's Disease
23 Jun 2009   

An important problem of patients with PD is not related to dopamine deficit. 
"PD patients suffer not only of motor but also of such non-motor disturbances 
as sleep disturbances, depression, psychosis, hallucinations or dementia. 
These disturbances require a precise diagnostic work up and specific, usually 
non dopaminergic medications." A whole series of studies being presented at 
the ENS meeting are devoted to this problem area. 

This focus is important because non-motor manifestations may represent the 
first sign of PD, experts at the ENS meeting emphasize. From clinical, 
neuroimaging and pathological studies, evidence is in fact accumulating 
suggesting the onset of olfactory dysfunction, dysautonomia, mood and sleep 
disorders years to decades before the onset of motor manifestations of PD. 

"Epidemiological and clinical studies suggest that non-motor symptoms related 
to Parkinson disease may already occur a decade or two before motor 
manifestations begin," Professor Bassetti emphasizes. "And the 
neurodegenerative process could start years before these non motor symptoms 
make their appearance." 

Source 
European Neurological Society 

Article URL: http://www.medicalnewstoday.com/articles/154919.php



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