Santos-García D, Aneiros-Díaz A, Macias-Arribi M, Llaneza-González M A, Abella-Corral J, Santos-Canelles H
Hospital Arquitecto Marcide, Ferrol, A Coruña, España.
Rev Neurol. 2010 Feb 8;50 Suppl 2:S65-74.
In addition to the motor disturbances experienced by the patients suffering from Parkinson's disease (PD), several non-motor symptoms also affect the PD patients: neurobehavior symptoms (dementia, depression, anxiety, psychosis), autonomic (postural hypotension, urinary symptoms, gastro intestinal symptoms, diaphoresis), sleep disorders (insomnia, somnolence, REM sleep behavior disorder, apnea), sensitive-motor (fatigue, diplopia, restless legs syndrome), and sensory symptoms.
We review the most relevant about sensory symptoms in PD: visual dysfunction, olfactory dysfunction, taste, hearing loss, and pain and other sensitive associate symptoms.
Pain is frequently observed in patients with PD, being its prevalence high and probably infra diagnosed. Its identification and classification is very important for a correct treatment. Hyposmia is a common symptom in PD and could be a predictor of future PD. Visual dysfunction and hearing dysfunction among others must be considered in patients with PD.
除了帕金森病(PD)患者所经历的运动障碍外,一些非运动症状也会影响PD患者:神经行为症状(痴呆、抑郁、焦虑、精神病)、自主神经症状(体位性低血压、泌尿系统症状、胃肠道症状、多汗)、睡眠障碍(失眠、嗜睡、快速眼动睡眠行为障碍、呼吸暂停)、感觉运动症状(疲劳、复视、不安腿综合征)以及感觉症状。
我们回顾了与PD感觉症状最相关的内容:视觉功能障碍、嗅觉功能障碍、味觉、听力丧失以及疼痛和其他相关感觉症状。
疼痛在PD患者中经常出现,其患病率很高且可能诊断不足。对其进行识别和分类对于正确治疗非常重要。嗅觉减退是PD的常见症状,可能是未来患PD的一个预测指标。PD患者必须考虑视觉功能障碍和听力功能障碍等情况。