2013
DOI: 10.1016/j.ncl.2013.04.013
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Nonmotor Symptoms in Parkinson's Disease

Abstract: Nonmotor symptoms (NMS) of Parkinson's disease (PD) are critical to identify and treat because of their impact on quality of life. Despite growing evidence of the importance of NMS on patients' quality of life, gaps remain in their recognition and treatment. The result is a need for increased information and understanding of specific NMS and the clinical approaches for their assessment and management in the context of PD as a whole. This article discusses the NMS of PD, their relationship to the pathologic bas… Show more

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Cited by 63 publications
(29 citation statements)
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“…As a whole, this combination of symptoms leads to disability and dependency. Parkinson's disease patients, in the long term, become dependent on others for daily living activities, such as dressing or feeding, and, therefore, the quality of life of patients suffering from Parkinson's disease is considerably diminished [4]. Along with movement alterations, Parkinson's disease patients show very important and debilitating nonmotor symptoms, such as autonomic dysfunction, cognitive abnormalities, sleep disorders, mood disorders, pain, and sensory disorders [4, 5].…”
Section: Introductionmentioning
confidence: 99%
“…As a whole, this combination of symptoms leads to disability and dependency. Parkinson's disease patients, in the long term, become dependent on others for daily living activities, such as dressing or feeding, and, therefore, the quality of life of patients suffering from Parkinson's disease is considerably diminished [4]. Along with movement alterations, Parkinson's disease patients show very important and debilitating nonmotor symptoms, such as autonomic dysfunction, cognitive abnormalities, sleep disorders, mood disorders, pain, and sensory disorders [4, 5].…”
Section: Introductionmentioning
confidence: 99%
“…Parkinson’s pathobiology is classically characterized as the progressive loss of dopaminergic neurons in the substantia nigra leading to the hallmark tremors of the limbs and loss of motor control observed in clinical settings. More recently, our understanding of PD has expanded to include several nonmotor symptoms (NMSs) that often precede motor symptoms such as depression, autonomic dysfunction and cognitive decline [58]. These NMSs are linked to the emergence of Lewy bodies, inclusion bodies primarily composed of α-synuclein, in nerve cells [59].…”
Section: Neurodegenerative Disordersmentioning
confidence: 99%
“…Several of these non-motor manifestations are also seen in many other neurodegenerative conditions, such as PD and Huntington’s disease, among others 82,83…”
Section: The Neurodegenerative Modelmentioning
confidence: 99%