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Early Development of Levodopa-Induced Dyskinesias and Response Fluctuations in Young-Onset Parkinson's Disease
Neurol 41:202-205, Kostic,V., 1991
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Article Abstract
We evaluated whether patients with young-onset Parkinson's disease(PD) (onset between 21 and 40 years)develop levodopa-induced dyskinesias and motor response fluctuations more frequently and earlier than patients with older-onset PD(onset after 40 years)by determining the period from levodopa introduction to development of dyskinesias or fluctuations in 25 young-onset(mean age at onset,33.54 years)and in 25 matched older-onset PD patients(mean age at onset,55.76 years).Young-onset PD patients had significantly higher frequency for both dyskinesias and fluctuations after both 3 and 5 years of levodopa.Young-onset PD patients also developed both levodopa-induced dyskinesias and fluctuations earlier than older-onset PD patients.We suggest that the introduction of levodopa therapy in patients with young-onset PD should be postponed as long as possible.
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dyskinesia
dyskinesia,drug induced
L-dopa
L-dopa,delayed treatment in Parkinsonism
L-dopa,drug interactions with and side effects of
Parkinson disease
Parkinson disease,on-off phenomena in
Parkinson disease,treatment of
Parkinson disease,young onset
treatment of neurologic disorder
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