The Sydney Multicentre Study of Parkinson's disease: a report on the first 3 years.

作者: M A Hely , J G Morris , D Rail , W G Reid , D J O'Sullivan

DOI: 10.1136/JNNP.52.3.324

关键词:

摘要: One hundred and twenty nine de novo patients with idiopathic Parkinson's disease are being followed over a 5 year period in double-blind multicentre study comparing low-dose bromocriptine (less than 30 mg/day) levodopa-carbidopa 600/150 mg/day). Sixty six have been randomised to 63 levodopa-carbidopa. Improvement has greater the group group. Involuntary movements so far only occurred on levodopa-carbidopa, incidence much lower is usually described conventional doses. Mild, end-of-dose failure both treatment groups; however, no patient developed "on-off" phenomenon. Low-dose appears be more effective anti-Parkinsonian but prone cause dyskinesia.

参考文章(24)
Darley Fl, Muenter, Sharpless Ns, Tyce Gm, Patterns of dystonia ("I-D-I" and "D-I-D-") in response to l-dopa therapy for Parkinson's disease. Mayo Clinic proceedings. ,vol. 52, pp. 163- ,(1977)
R. F. Pfeiffer, K. Wilken, C. Glaeske, A. S. Lorenzo, Low-Dose Bromocriptine Therapy in Parkinson's Disease Archives of Neurology. ,vol. 42, pp. 586- 588 ,(1985) , 10.1001/ARCHNEUR.1985.04060060092015
S. Fahn, L. J. Cote, S. R. Snider, R. E. Barrett, W. P. Isgreen, The role of bromocriptine in the treatment of parkinsonism Neurology. ,vol. 29, pp. 1077- 1077 ,(1979) , 10.1212/WNL.29.8.1077
J.D. Parkes, Bromocriptine in the Treatment of Parkinsonism Drugs. ,vol. 17, pp. 365- 382 ,(1979) , 10.2165/00003495-197917050-00006
A. L. Staal-Schreinemachers, H. Wesseling, D. J. Kamphuis, W.v.d. Burg, J. P.W.F. Lakke, Low‐dose bromocriptine therapy in Parkinson's disease: Double‐blind, placebo‐controlled study Neurology. ,vol. 36, pp. 291- 293 ,(1986) , 10.1212/WNL.36.2.291
W. W. Hofmann, R. W. Angel, Transient responses of the normal and diseased motor system to sudden load changes. Neurology. ,vol. 17, pp. 952- 952 ,(1967) , 10.1212/WNL.17.10.952
J D Parkes, C D Marsden, I Donaldson, A Galea-Debono, J Walters, G Kennedy, P Asselman, Bromocriptine treatment in Parkinson's disease. Journal of Neurology, Neurosurgery, and Psychiatry. ,vol. 39, pp. 184- 193 ,(1976) , 10.1136/JNNP.39.2.184
JOHN E. LEE, Treatment of Parkinsonism with Levodopa Annals of Internal Medicine. ,vol. 75, pp. 703- 708 ,(1971) , 10.7326/0003-4819-75-5-703
R. Markstein, Neurochemical effects of some ergot derivatives: a basis for their antiparkinson actions. Journal of Neural Transmission. ,vol. 51, pp. 39- 59 ,(1981) , 10.1007/BF01664004
Eldad Melamed, Early-Morning Dystonia Archives of Neurology. ,vol. 36, pp. 308- 310 ,(1979) , 10.1001/ARCHNEUR.1979.00500410086014