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2013, Number 2

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Arch Neurocien 2013; 18 (2)

Incidence and determinants of dyskinesias and motor fluctuations in a retrospective multicenter cohort of Mexican patients with Parkinson’s disease

Cervantes-Arriaga A, Rodríguez-Violante M, Zuñiga-Ramírez C, Estrada-Bellmann I, López-Ruiz M, Cantú-Brito C, Martínez-Ramírez D, Morales-Briceño H, Carlos-Ramírez, Rosalva-Mathieu
Full text How to cite this article

Language: Spanish
References: 10
Page: 78-81
PDF size: 75.43 Kb.


Key words:

dyskinesia, fluctuation, Parkinson’s disease, treatment.

ABSTRACT

Dyskinesia and motor fluctuations are the main complications and limitations of dopamine replacement therapy. Objective: to determine the prevalence and incidence of motor complications in multicentric and retrospective cohort of Mexican patients with Parkinson’s disease. Material and methods: we included 884 patients with PD treated at three referral centers in Mexico City, a center in Guadalajara and a center in Monterrey during the period between January and December 2011. Results: The incidence of dyskinesias in person-time was 42 cases per 1000 person-years. The incidence rate of fluctuations in person-time was 53 cases per 1000 person-years. Conclusions: the prevalence and incidence of motor fluctuations and diskynesias is less than expected which warrants further study. This is the first EP multicenter study with a sample size of this magnitude made in our country.


REFERENCES

  1. Van Den Eeden SK, Tanner CM, Bernstein AL, et al. Incidence of Parkinson’s disease: variation by age, gender, and race/ ethnicity. Am J Epidemiol 2003;157: 1015-22.

  2. Dorsey ER, Constantinescu R, Thompson JP, Biglan KM, Holloway RG. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurol 2007;30;68:384-6.

  3. Klein C, Schlossmacher MG. Parkinson disease, 10 years after its genetic revolution. Multiple clues to a complex disorder. Neurology 2007;69: 2093-104.

  4. Hauser RA, McDermott MP, Messing S. Factors associated with the development of motor complications and dyskinesias in Parkinson disease. Arch Neurol 2006; 63:1756-60.

  5. Cabo López I, García Ruiz PJ, Vazquez Fernandez del Pozo S, Sánchez Bernardos V. Motor complications in Parkinson’s disease: Ten year follow-up study. Mov Disord 2010; 25:2735-9.

  6. Jenner P. Molecular mechanisms of L-Dopa-induced dyskinesia. Nat Rev Neurosci 2008; 9:665-77.

  7. Jankovic J, Stacy M. Medical management of levodopaassociated motor complications in patients with Parkinson’s disease. CNS Drugs 2007; 21:677-92.

  8. Calabresi P, Di Fillipo M, Ghiglieri V, Picconi B. Molecular mechanisms underlying levodopa-induced dyskinesia. Mov Disord 2008; 23: S570-9.

  9. Cervantes-Arriaga A, Rodríguez-Violante M, Yescas P, Alonso- Vilatela E. Fluctuaciones motoras en enfermedad de Parkinson. Rev Med Inst Mex Seguro Soc 2012:50:141-6.

  10. Cer vantes-Arriaga A, Rodríguez-Violante M, Salmerón- Mercado M, Calleja-Castillo J, Corona T, Yescas P, et al. Incidencia y determinantes de discinesias inducidas por levodopa en una cohor te retrospectiva de pacientes mexicanos con enfermedad de Parkinson. Rev Invest Clin 2012; en prensa.




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Arch Neurocien. 2013;18