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Rev Neurol ; 50 Suppl 2: S51-4, 2010 Feb 08.
Article in Spanish | MEDLINE | ID: mdl-20205142

ABSTRACT

INTRODUCTION: The non-motor symptoms of Parkinson's disease are a frequent and often under-diagnosed disorder. Two of the most significant non-motor symptoms are perhaps dysphagia and sialorrhea (which are relatively common in advanced stages of the disease) owing to their important functional repercussions and to the associated comorbidity. DEVELOPMENT AND CONCLUSIONS: In recent years, different evaluation scales have been developed for clinical use and in screening the aforementioned symptoms. Of the different therapeutic options available, botulinum toxin represents the preferred treatment for sialorrhea. In contrast, speech therapy and an optimisation of the antiparkinsonian therapy are generally useful measures to treat dysphagia, percutaneous endoscopic gastrostomy being reserved for patients suffering from Parkinson who have severe dysphagia.


Subject(s)
Deglutition Disorders/etiology , Deglutition Disorders/physiopathology , Parkinson Disease/complications , Parkinson Disease/physiopathology , Sialorrhea/etiology , Sialorrhea/physiopathology , Antiparkinson Agents/therapeutic use , Botulinum Toxins/therapeutic use , Deglutition Disorders/drug therapy , Deglutition Disorders/epidemiology , Humans , Parkinson Disease/drug therapy , Parkinson Disease/epidemiology , Sialorrhea/drug therapy , Sialorrhea/epidemiology
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