Discinesias induzidas por levodopa em 176 pacientes com doença de Parkinson

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dc.contributor.authorRocha, Maria Sheila G. [UNIFESP]
dc.contributor.authorAndrade, Luiz Augusto Franco de [UNIFESP]
dc.contributor.authorFerraz, Henrique B. [UNIFESP]
dc.contributor.authorBorges, Vanderci [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2015-06-14T13:24:30Z
dc.date.available2015-06-14T13:24:30Z
dc.date.issued1995-12-01
dc.description.abstractDyskinesias are frequently observed in parkinsonian patients during levodopa treatment. The occurrence of these movement disorders usually makes the therapeutic management of the patients very difficult. The clinical characteristics of 176 patients with dyskinesias were retrospectively studied. Dyskinesias occurred, on average, after 6,2 years of duration of Parkinson's disease and after 4.2 years on treatment with levodopa. Patients were more likely to have dyskinesias during more advanced stages (measured by Hoehn and Yahr scale). Peak of dose and square wave were the types of dyskinesia more frequently described and were associated with choreic movements in most cases. Dystonia occurred in 40% of the cases and was predominant in end of dose and diphasic dyskinesias. Thirty-five percent of dystonia cases presented as early morning dystonia. Chorea was the most frequent involuntary movement and mostly generalized. Dystonia was most commonly described in lower limbs. Orofacial dyskinesia, when occurred alone, was more frequently seen in old rather than young patients. When dyskinesia was unilateral it was more likely to occur in the side where Parkinson's disease was more severe.en
dc.description.abstractA ocorrência de discinesias dificulta consideravelmente o manuseio terapêutico dos pacientes parkinsonianos tratados com levodopa. Estudamos as características clínicas das discinesias em 176 pacientes com diagnóstico de doença de Parkinson e tratados com levodopa. As discinesias ocorreram, em média, após 6,2 anos de duração da doença e após 4,2 anos de tratamento com levodopa. A maioria dos pacientes (90%) achava-se nos estágios II e III de Hoehn & Yahr por ocasião do início das discinesias. As discinesias mais frequentes foram as de pico de dose e contínua. Movimento do tipo distônico ocorreu em 40% dos casos e predominou nas discinesias de fim de dose e bifásica. Distonia matinal correspondeu a 35% dos casos de distonia. Movimentos coreiformes se manifestaram de forma generalizada em 43,2% dos casos. Movimentos distônicos predominaram nos membros inferiores. A discinesia, quando unilateral, ocorreu mais frequüentemente no hemicorpo mais comprometido pela doença de Parkinson. A discinesia orofacial, quando isolada, foi mais frequente nos pacientes mais idosos.pt
dc.description.affiliationUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina
dc.description.affiliationUnifespUNIFESP, EPM
dc.description.sourceSciELO
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.format.extent737-742
dc.identifierhttp://dx.doi.org/10.1590/S0004-282X1995000500004
dc.identifier.citationArquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 53, n. 4, p. 737-742, 1995.
dc.identifier.doi10.1590/S0004-282X1995000500004
dc.identifier.fileS0004-282X1995000500004.pdf
dc.identifier.issn0004-282X
dc.identifier.scieloS0004-282X1995000500004
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/399
dc.identifier.wosWOS:A1995TG06300004
dc.language.isopor
dc.publisherAcademia Brasileira de Neurologia - ABNEURO
dc.relation.ispartofArquivos de Neuro-Psiquiatria
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectParkinson's diseaseen
dc.subjectdyskinesiasen
dc.subjectlevodopaen
dc.subjectdoença de Parkinsonpt
dc.subjectdiscinesiaspt
dc.subjectlevodopapt
dc.titleDiscinesias induzidas por levodopa em 176 pacientes com doença de Parkinsonpt
dc.title.alternativeLevodopa-induced dyskinesias in 176 parkisonian patientsen
dc.typeinfo:eu-repo/semantics/article
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