Dementia in idiopathic Parkinson's syndrome

被引:24
作者
Fuchs, GA [1 ]
Gemende, I [1 ]
Herting, B [1 ]
Lemke, MR [1 ]
Ehlwein, C [1 ]
Reichmann, H [1 ]
Rieke, J [1 ]
Emmans, D [1 ]
Volkmann, J [1 ]
机构
[1] Parkinson Clin Wolfach, D-77709 Wolfach, Germany
关键词
dementia; Parkinson's disease; Lewy body dementia; cholinesterase inhibitor;
D O I
10.1007/s00415-004-1607-5
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Approximately 25% of patients with idiopathic Parkinson's disease (IPD) later develop dementia, with the typical characteristics as detailed in ICD-10 and DSM-IV Differential diagnosis has to exclude dementia due to Lewy bodies, subcortical vascular encephalopathy and subcortical dementia due to progressive supranuclear paralysis or corticobasal degeneration. Several studies showed promising results for cholinesterase inhibitors such as donepezile, rivastigmine and galantamine. The demented Parkinsonian patients then present with improvement in cognitive function while motor skills do not deteriorate.
引用
收藏
页码:28 / 32
页数:5
相关论文
共 20 条
[1]   Cognitive, psychiatric and motor response to galantamine in Parkinson's disease with dementia [J].
Aarsland, D ;
Hutchinson, M ;
Larsen, JP .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2003, 18 (10) :937-941
[2]   Donepezil for cognitive impairment in Parkinson's disease: a randomised controlled study [J].
Aarsland, D ;
Laake, K ;
Larsen, JP ;
Janvin, C .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2002, 72 (06) :708-712
[3]   Frequency of dementia in Parkinson disease [J].
Aarsland, D ;
Tandberg, E ;
Larsen, JP ;
Cummings, JL .
ARCHIVES OF NEUROLOGY, 1996, 53 (06) :538-542
[4]  
BERGER F, 2000, MOV DISORD S, V3, P129
[5]  
BRAAK H, 1994, EXTRAPYRAMIDAL MOTOR, P81
[6]   Rivastigmine (Exelon) for dementia in patients with Parkinson's disease [J].
Giladi, N ;
Shabtai, H ;
Gurevich, T ;
Benbunan, B ;
Anca, M ;
Korczyn, AD .
ACTA NEUROLOGICA SCANDINAVICA, 2003, 108 (05) :368-373
[7]  
HEGEMANNRICHARD.I, 2002, MOVEMENT DISORD, V17, P1161
[8]  
HENNEBERG A, 1999, MENT DYSF PARK DIS A
[9]   Cholinesterase inhibition in Parkinson's disease [J].
Hutchinson, M ;
Fazzini, E .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 61 (03) :324-325
[10]   COGNITIVE FUNCTION AND REGIONAL CEREBRAL BLOOD-FLOW IN PARKINSONS-DISEASE [J].
JAGUST, WJ ;
REED, BR ;
MARTIN, EM ;
EBERLING, JL ;
NELSONABBOTT, RA .
BRAIN, 1992, 115 :521-537