Progress and Prospects in Parkinson's Research/Symptoms/Non-motor
Chaudhuri et al [Main Ref 1] stressed the importance of identifying, measuring and treating non-motor PD symptoms and proposed the following classification of non-motor symptoms.
Cardiovascular
See the review of Cardiovascular dysautonomia in Parkinson's by Jain and Goldstein[Main Ref 2]
Orthostatic hypotension
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Drop in blood pressure during changes in body position. A recent review of Cardiovascular dysautonomia in Parkinson's by Jain and Goldstein (2012) is particularly relevant.[1] The following references are also relevant:- Hussain et al (2001) Treatment of erectile dysfunction with sildenafil citrate (Viagra) in parkinsonism due to Parkinson's disease or multiple system atrophy with observations on orthostatic hypotension [2] Park and Stacy(2011) Dopamine-Induced Nonmotor Symptoms of Parkinson's Disease [3] Sommer et al (2011) Nondipping in Parkinson's Disease [4] Further Research
References
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Tachycardia
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Rapid heart rate The following references are relevant:- Wilcox and Aminoff (1976) Blood pressure responses to noradrenaline and dopamine infusions in Parkinson's disease and the Shy-Drager syndrome[1]
Further Research
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Tachypnoia
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Rapid breathing The following references are relevant:-
Further Research
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Sleep/Fatigue
Agrypnia
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Redirected to Insomnia: ( To subpage for editing >> ) Disturbed sleep May include Agrypnia The following references are relevant:- Schutte-Rodin et al (2008)Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults [1]
Further Research
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Apnoea
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Arrest of breathing There is an alternative spelling " Apnea". This is most frequently observed sleep disorder. During apnoea there is no movement of air in or out of the lungs. There is a considerable body of literature on this Symptom. Here are a few references and a general search tool: Chotinaiwattarakui et al (2010) Risk of sleep-disordered breathing in Parkinson's disease [1] Univ. of California clinical Trials. (2012). Study into the cognitive benefits of treating sleep apnea in Parkinson’s disease [2] Lelieveld et al (2012) The Role of Serotonin in Sleep Disordered Breathing Associated with Parkinson Disease: A Correlative DASB PET Imaging Study [3] Further Research
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Coma
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Deep unconsciousness with loss of awareness The following references are relevant:- Guillan(1925) A clinical study of encephalitis lethargic – based on 62 cases [1] Jang et al (2009) Highly pathogenic H5N1 influenza virus can enter the central nervous system and induce neuroinflammation and neurodegeneration [2] Nakamagoe et al (2009) Parkinsonism with organophosphate poisoning [3] Further Research
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Insomnia
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Disturbed sleep May include Agrypnia The following references are relevant:- Schutte-Rodin et al (2008)Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults [1]
Further Research
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Narcolepsy
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Narcolepsy Sudden urge to sleep. The following references are relevant:- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1978248/ http://www.ncbi.nlm.nih.gov/pubmed/22747735 http://www.ncbi.nlm.nih.gov/pubmed/22939103
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Sleep disorder
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Disturbed sleep May include Agrypnia The following references are relevant:- Schutte-Rodin et al (2008)Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults [1]
Further Research
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Somnipathy
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Disturbed sleep May include Agrypnia The following references are relevant:- Schutte-Rodin et al (2008)Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults [1]
Further Research
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Mood/Apathy
Aboulia
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Lack of will or initiative There is an alternative spelling ’Abulia’. This symptom can come about through trauma or as a result of Deep Brain Stimulation. It can also arise from non-Parkinsonian causes such as degeneration of or surgery upon the frontal lobes. Common features of aboulia are:- • Difficulty in initiating and sustaining purposeful movements • Lack of spontaneous movement • Reduced spontaneous movement • Increased response-time to queries • Passivity • Reduced emotional responsiveness and spontaneity • Reduced social interactions • Reduced interest in usual pastimes This has been described by:- Doder et al (1999) Parkinson's syndrome after closed head injury: a single case report [1]
Further Research
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Compulsive behaviour
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Out-of character uncontrollable urges, for instance gambling. The following references are relevant:- Djamshidian et al (2010) Risk and learning in impulsive and non-impulsive patients with Parkinson’s disease [1] Djamshidian et al (2011) Novelty seeking behaviour in Parkinson’s disease [2] Bostwick et al (2012) Frequency of New-Onset Pathologic Compulsive Gambling or Hypersexuality After Drug Treatment of Idiopathic Parkinson Disease [3] Further Research
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Coprolalia
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Exclamatory swearing and use of hostile or obscene epithets. Daniele et al (1997) Obsessive-compulsive behaviour and cognitive impairment in a parkinsonian patient after left putaminal lesion. [1] Shale et al (2005) Tics in a patient with Parkinson's disease†[2] Dale et al (2007) Contemporary encephalitis lethargica presenting with agitated catatonia, stereotypy, and dystonia-parkinsonism. [3] Further Research
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Hypomania
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Pathological elation. The following references are relevant:- Zahodne and Fernandez (2010) Parkinson’s Psychosis [1] Haq et al (2010) A Case of Mania following Deep Brain Stimulation for Obsessive Compulsive Disorder [2] Copra et al (2012) Underlying Neurobiology and Clinical Correlates of Mania Status-Post Subthalamic Nucleus Deep Brain Stimulation in Parkinson’s disease: A Review of the Literature [3]
Further Research
References
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Perceptual Problems
Agnosia
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Redirected to Apraxia: ( To subpage for editing >> )
This has been studied by:-
Further Research
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Block
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Block Resistance to thought or movement. The following references are relevant:- Brown and Marsden (1988) Internal versus external cues and the control of attention in Parkinson's Disease [1] Morris et al (1988) Planning and spatial working memory in Parkinson's disease. [2] Heindel et al (1989) Neuropsychological evidence for multiple implicit memory systems: a comparison of Alzheimer's, Huntington's, and Parkinson's disease patients [3] Further Research
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Delusion
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A fixed false belief that is resistant to reason or confrontation with actuality The following references are relevant:- Goldman (2011) New Thoughts on Thought Disorders in Parkinson's Disease: Review of Current Research Strategies and Challenges [1] Fénelon et al (2012) Feeling of presence in Parkinson's disease [2] Mack et al (2012) Prevalence of Psychotic Symptoms in a Community-Based Parkinson’s Disease Sample [3] Further Research
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Dementia
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Abnormal progressive decline in cognitive function See also Cognitive Impairment The following references are relevant. Leverenz et al, (2009) Cognitive Impairment and Dementia in Patients with Parkinson Disease [1] Johnson and Galvin (2011) Longitudinal Changes in Cognition in Parkinson's Disease with and without Dementia [2] Weintraub et al (2011) Neurodegeneration Across Stages of Cognitive Decline in Parkinson Disease [3] Further Research
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Hallucination
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An experience of something that does not exist outside the mind The following references are relevant:- Goetz et al (2010) Hallucinations and sleep disorders in PD [2]
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Mad Hatter's Disease
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Redirected to ( To subpage for editing >> ) Pathological irritability or sensitivity of an organ or a body part. This symptom (also known as Mad Hatter's Disease is commonly associated with mercury toxicity, (prevalent in hat manufacture) which is itself a noted causal risk for PD. The following references are relevant:- Critchley (1981) Speech disorders of Parkinsonism: a review. [5] Clarkson et al (2003) Human Exposure to Mercury: the Three Modern Dilemmas [6] Liu et al (2012) Occupational Neurotoxic Diseasesin Taiwan[7] Further Research
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Phantosmia
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Hallucinatory smells. The following references are relevant:- Hirsch (2008) Parkinsonism: the hyposmia and phantosmia connection. [1] Landis and Burkhard (2008) Phantosmias and Parkinson disease. [2] Aiello and Hirsch (2013) Phantosmia as a meteorological forecaster.[3]
References
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Attention/Memory
Aphrenia
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Aphrenia: Stoppage of thought Redirected to Dementia: ( To subpage for editing >> ) Abnormal progressive decline in cognitive function See also Cognitive Impairment The following references are relevant. Leverenz et al, (2009) Cognitive Impairment and Dementia in Patients with Parkinson Disease [1] Johnson and Galvin (2011) Longitudinal Changes in Cognition in Parkinson's Disease with and without Dementia [2] Weintraub et al (2011) Neurodegeneration Across Stages of Cognitive Decline in Parkinson Disease [3] Further Research
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Apraxia
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This has been studied by:-
Further Research
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Bradyphrenia
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Slowness of thought. The following references are relevant:- Aarsland et al (2009) Neuropsychiatric symptoms in Parkinson's disease [1] Goldman and Litvan (2011) Mild Cognitive Impairment in Parkinson’s Disease [2] Oluladanola et al (2012) Frequency of cognitive impairment and depression in Parkinson's disease: A preliminary case-control study [3] Further Research
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Cognitive Impairment
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Problems with mental processes such as thinking, learning and judging See also Dementia The folllowing references are relevant. Goldman and Litvan (2011) Mild Cognitive Impairment in Parkinson’s Disease[1] Litvan et al(2011) MDS Task Force on Mild Cognitive Impairment in Parkinson’s disease: Critical Review of PD-MCI[2] Weintrub et al (2011) Neurodegeneration Across Stages of Cognitive Decline in Parkinson Disease [3] Further Research
References
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Tachyphrenia
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Rapid thought
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Gastrointestinal
Bulimia
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Violent or insatiable appetite The following references are relevant:- Rosenberg et al (1977) Increased appetite (bulimia) in Parkinson's disease. [1] Burkhard et al (2008) Impulse control disorders and Parkinson's disease. [2] Zahodne et al (2011) Binge eating in Parkinson's disease: prevalence, correlates and the contribution of deep brain stimulation. [3] Further Research
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Constipation
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Decreased ability of intestinal muscles to move stool through the bowels Gao et al (2011) A Prospective Study of Bowel Movement Frequency and Risk of Parkinson’s Disease [1]
Wang et al (2013) Early recognition of pelvic floor dyssynergia and colorectal assessment in Parkinson's disease associated with bowel dysfunction. [3] Further Research
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Sexual Functions
Algolagnia
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Redirected to Hypersexuality: Hypersexuality Excessive sexual activity (Related symptoms: Satyriasis, Sadomachism) The following references are relevant:- Witjas et al (2012) Addictive behaviors and Parkinson's disease. [1]
Pereira et al (2013) Screening hypersexuality in Parkinson's disease in everyday practice. [3] Further Research
References
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Hypersexuality
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Excessive sexual activity (Related symptoms: Satyriasis, Sadomachism) The following references are relevant:- Witjas et al (2012) Addictive behaviors and Parkinson's disease. [1]
Pereira et al (2013) Screening hypersexuality in Parkinson's disease in everyday practice. [3] Further Research
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Sadomasochism
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Excessive sexual activity (Related symptoms: Satyriasis, Sadomachism) The following references are relevant:- Witjas et al (2012) Addictive behaviors and Parkinson's disease. [1]
Pereira et al (2013) Screening hypersexuality in Parkinson's disease in everyday practice. [3] Further Research
References
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Satyriasis
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Excessive sexual activity (Related symptoms: Satyriasis, Sadomachism) The following references are relevant:- Witjas et al (2012) Addictive behaviors and Parkinson's disease. [1]
Pereira et al (2013) Screening hypersexuality in Parkinson's disease in everyday practice. [3] Further Research
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Miscellaneous
Aphonia
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Aphonia: Inability to make sounds. ( To subpage for editing >> ) Inability to make sounds The following references are relevant:- Critchley (1981) Speech disorders of Parkinsonism: a review [1] Russell et al (2010) Targeted exercise therapy for voice and swallow in persons with Parkinson’s disease [2] Hallett (2011) Psychogenic Parkinsonism [3]
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Drooling
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Redirected to Sialorrhoea ( To subpage for editing >> ) Increased salivation Alternative term:- Drooling The following references are relevant:- Kalf et al (2009) Prevalence and definition of drooling in Parkinson’s disease: a systematic review [1] Bloem et al (2009) Debilitating consequences of drooling [2] Kalf et al (2011) Diurnal and nocturnal drooling in Parkinson’s disease[3] Further Research
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Dysarthria
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Speech difficulties due to impairment of the muscles associated with vocalization. The following references are relevant:- MacPherson et al (2011) The Intonation-Syntax Interface in the Speech of Individuals with Parkinson’s Disease[1] Skodda (2012) Effect of Deep Brain Stimulation on Speech Performance in Parkinson's Disease [2] Walsh and Smith (2011) Linguistic Complexity, Speech Production, and Comprehension in Parkinson’s Disease: Behavioral and Physiological Indices [3] Further Research
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Dysphagia
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Difficulty in swallowing. See also Aphagia Further Research
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Dysphasia
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Difficulty in speaking The following references are relevant:- Colman et al (2011) Sentence Comprehension and Its Association with Executive Functions in Patients with Parkinson's Disease [1] Baylor et al (2012) A qualitative study of interference with communicative participation across communication disorders in adults [2] Fox et al(2012) LSVT LOUD and LSVT BIG: Behavioral Treatment Programs for Speech and Body Movement in Parkinson Disease [3] Further Research
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Echolalia
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Forced repetition of someone’s words The following references are relevant:- Critchley (1981) Speech disorders of Parkinsonism: a review. [1]
Further Research
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Erethism
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Pathological irritability or sensitivity of an organ or a body part. This symptom (also known as Mad Hatter's Disease is commonly associated with mercury toxicity, (prevalent in hat manufacture) which is itself a noted causal risk for PD. The following references are relevant:- Critchley (1981) Speech disorders of Parkinsonism: a review. [1] Clarkson et al (2003) Human Exposure to Mercury: the Three Modern Dilemmas [2] Liu et al (2012) Occupational Neurotoxic Diseasesin Taiwan[3] Further Research
References
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Hypophonia
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Reduced vocal force The following references are relevant:- Russell et al (2010) Targeted exercise therapy for voice and swallow in persons with Parkinson’s disease [1] Hammer et al (2010) Subthalamic nucleus deep brain stimulation changes speech respiratory and laryngeal control in Parkinson's disease [2] Darling and Huber (2011) Changes to Articulatory Kinematics in Response to Loudness Cues in Individuals with Parkinson’s Disease [3] Further Research
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Mydriasis
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Dilated pupils. The following references are relevant:- Bitsios et al (1998) Comparison of the effects of moclobemide and selegiline on tyramine-evoked mydriasis in man [1] Mojunder and Wensel (2009) Topical Mydriatics Affect Light-Evoked Retinal Responses in Anesthetized Mice [2] Armstrong (2011) Visual Symptoms in Parkinson's Disease [3] Further Research
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Olfactory dysfunction
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Olfactory dysfunction A reduced or impaired ability to detect odors. The following references are relevant:- Hoyles and Sharma (2013) Olfactory loss as a supporting feature in the diagnosis of Parkinson's disease: a pragmatic approach[1] Takeda (2013) Severe olfactory dysfunction is a predictor of dementia with Parkinson’s disease[2] Hüttenbrink et al (2013) Olfactory dysfunction: common in later life and early warning of neurodegenerative disease [3] Further Research
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Ophthalmoplegia
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Paralysis of gaze. The following references are relevant:- Guiloff et al (1980)Reversible supranuclear ophthalmoplegia associated with Parkinsonism [1] Armstrong (2011)Visual signs and symptoms of progressive supranuclear palsy. [2]
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Palilalia
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Forced repetition of one’s own words The following references are relevant:- Ackermann et al (1989) Palilalia as a symptom of levodopa induced hyperkinesia in Parkinson's disease.[1] Anderson et al (1999) Developmental stuttering and Parkinson's disease: the effects of levodopa treatment [2] Benke et al (2000) Repetitive speech phenomena in Parkinson's disease [3] Further Research
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Paraesthesia
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Sensations arising spontaneously in a limb or other part of the body, e,g."pins and needles" or fluctuations of warmth or coldness. The following references are relevant:- Fuentes et al (2010) Restoration of locomotive function in Parkinson’s disease by spinal cord stimulation: mechanistic approach [1] Varanese et al(2010) Treatment of Advanced Parkinson's Disease [2] Ahlskog (2010) Seniors with Parkinson's Disease: Initial Medical Treatment [3] Further Research
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Perseveration
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Abnormal continuation or repetition of nervous processes. The following references are relevant:- Rutledge et al (2009) Dopaminergic Drugs Modulate Learning Rates and Perseveration in Parkinson’s Patients in a Dynamic Foraging Task [1] Weintraub et al (2012) Alzheimer's disease pattern of brain atrophy predicts cognitive decline in Parkinson's disease [2] Pagonabarraga et al (2013) Pattern of Regional Cortical Thinning Associated with Cognitive Deterioration in Parkinson’s Disease [3] Further Research
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Sialorrhoea
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Increased salivation Alternative term:- Drooling The following references are relevant:- Kalf et al (2009) Prevalence and definition of drooling in Parkinson’s disease: a systematic review [1] Bloem et al (2009) Debilitating consequences of drooling [2] Kalf et al (2011) Diurnal and nocturnal drooling in Parkinson’s disease[3] Further Research
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Strabismus
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Divergent squint of the eyes (See also Exotropia = Outward divergence and Esotropia = Inward Divergence. Also Tic)
Rascol et al (1991) Square wave jerks in parkinsonian syndromes[1] Scoditti, et al (1993) Peroneal muscular atrophy with parkinsonism, ptosis, and congenital strabismus. [2] Almer et al (2011) Ocular Motor and Sensory Function in Parkinson Disease [3] Further Researchedit
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References, main page
edit- ↑ Chaudhuri, Ray K.; Rojo, J.M.; Schapira, A.H.; Brooks, D.J.; Stocchi,F.; Odin, P.; Antonini, A.; Brown, R.J. and Martinez-Martin, P (2013) Full Text PLoS One 2013 8 (2) A proposal for a comprehensive grading of Parkinson's disease severity combining motor and non-motor assessments: meeting an unmet need. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584126/
- ↑ Jain, Samay, and David S. Goldstein. Cardiovascular Dysautonomia in Parkinson Disease: From Pathophysiology to Pathogenesis. Neurobiology of Disease 46, no. 3 (June 2012): 572–580. Full Text PubMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299874/