Autor: |
Reijo M, Atula S, Heikkinen E, Jaakkola MR, Pekka J, Keränen T, Martikainen K, Pekkonen E, Sotaniemi K |
Jazyk: |
finština |
Zdroj: |
Duodecim; laaketieteellinen aikakauskirja [Duodecim] 2010; Vol. 126 (19), pp. 2289-90. |
Abstrakt: |
Following the diagnosis of Parkinson's disease, treatment may be initiated with MAO-B-inhibitor, even prior to the development of any functional deficit. For patients with a functional deficit who are younger (usually under 75 years of age) and otherwise in good condition, treatment should be started with a dopamine agonist or MAO-B-inhibitor. In other patients, initial treatment with levodopa is recommended. In the case of difficult on-off-symptoms and dyskinesias in spite of optimal treatment, surgical procedures and duodenal levodopa infusion should be considered. Rehabilitation should be targeted at specific problems associated with functional skills. |
Databáze: |
MEDLINE |
Externí odkaz: |
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