Detección y manejo de síntomas no motores en la enfermedad de Parkinson: impacto en su prevalencia

• Mayela Rodríguez-Violante ^[1] ; Amin Cervantes-Arriaga ^[1]
  1. [1] Instituto Nacional de Neurología y Neurocirugía

     Instituto Nacional de Neurología y Neurocirugía

     México

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 139, Nº. 8, 2011, págs. 1032-1038
• Idioma: español
• Títulos paralelos:
  • Detection and management of non-motor symptoms in Parkinson's disease: impact on their prevalence
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• Resumen

  • Background: Non-motor symptoms are common among patients with Parkinson disease and include cognitive, psychiatric, sleep and autonomic dysfunctions. Aim: To determine if the detection of non-motor symptoms along with the appropriate referral to an specialist has an impact on their prevalence after one year follow-up. Material and Methods: We included 60 patients diagnosed with Parkinson´ s disease attending to the Movement Disorder Clinic. The presence of non-motor symptoms was determined by the non-motor symptom questionnaire (NMSQuest). Results: The mean NMSQuest scores at baseline and at one year follow up were 12.6 ± 6.2 and 9.9 ± 5.6, respectively (p < 0.01). The non-motor symptoms that showed a statistically significant differences in frequency between baseline and the final assessment, were constipation (p = 0.04), urinary urgency (p = 0.02), hallucinations (p = 0.04), dizziness (p = 0.02) and vivid dreams (p = 0.04). Conclusions: Intentional search for non-motor symptoms in patients with Parkinson´ s disease along with a multidisciplinary approach has an impact on their prevalence. The change in specific symptoms is probably related to adjustments in dopaminergic management.