Luquin M R, Obeso J A, Martínez-Lage J M
Neurologia. 1989 Jan-Feb;4(1):4-11.
Motor complications appearing in 180 patients with Parkinson's disease who received levodopa for a long period are reviewed. The most frequently observed motor disorders were wearing off fluctuations and dyskinesias of "dose benefit". Most patients who presented a decrease in the response to levodopa developed signs during the course or findings in complementary tests which were incompatible with the diagnosis of Parkinson's disease. In the present study, the duration of the treatment with levodopa and the duration of the disease varied in parallel in such a way that it was not possible to individualize the relative importance of both factors in the development of the observed motor complications.
回顾了180例长期接受左旋多巴治疗的帕金森病患者出现的运动并发症。最常观察到的运动障碍是“剂末现象”波动和“剂量获益”异动症。大多数对左旋多巴反应降低的患者在病程中出现体征或在补充检查中发现与帕金森病诊断不符的结果。在本研究中,左旋多巴治疗时间和病程并行变化,以至于无法区分这两个因素在观察到的运动并发症发生过程中的相对重要性。