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Semin Neurol 2017; 37(02): 147-157
DOI: 10.1055/s-0037-1602423
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Motor Complications of Dopaminergic Medications in Parkinson's Disease

Maria Eliza Freitas
1   Division of Neurology, Department of Medicine, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada
,
Christopher W. Hess
2   Center for Movement Disorders and Neurorestoration, University of Florida, Gainesville, Florida
,
Susan H. Fox
1   Division of Neurology, Department of Medicine, University of Toronto, Toronto Western Hospital, Toronto, Ontario, Canada
› Author Affiliations
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Publication History

Publication Date:
16 May 2017 (online)

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Abstract

Motor complications are a consequence of the chronic treatment of Parkinson's disease (PD) and include motor fluctuations (wearing-off phenomenon) and levodopa-induced dyskinesia. Both can have a significant impact on functionality and quality of life; thus, proper recognition and management is essential. The phenomenology and temporal relationship of motor complications to the schedule of levodopa dosing can be helpful in characterizing them. There are several therapeutic approaches to motor complications, including pharmacological and surgical options. The authors summarize the different types of motor complications according to phenomenology and the currently available medical treatments, including ongoing trials for the management of this condition.

Keywords

motor fluctuations - motor complications - levodopa-induced dyskinesia - Parkinson's disease