Neurology

L-dopa-induced dyskinesias: 24-month data

 

REPORT FROM THE 13TH CONGRESS OF THE EUROPEAN FEDERATION OF NEUROLOGICAL SOCIETIES (EFNS), FLORENCE, ITALY, SEPTEMBER 12-15, 2009 – One-quarter of PD patients develop L-dopa-induced dyskinesias, according to the interim analysis of patients in the COPARK (Cohorte nationale de patients atteints de maladie de Parkinson)/PARKMIP (Midi-Pyrénées region) trial (Perez-Lloret et al. EFNS 2009). L-dopa-induced dyskinesia was defined as UPDRS IV (item 32) ≥ 1.

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PD epidemiology: results from the Italian Longitudinal Study on Aging

 

REPORT FROM THE 13TH CONGRESS OF THE EUROPEAN FEDERATION OF NEUROLOGICAL SOCIETIES (EFNS), FLORENCE, ITALY, SEPTEMBER 12-15, 2009 – The prevalences of parkinsonism and Parkinson’s disease are on the increase among the elderly, according to an analysis of subjects in the Italian Longitudinal Study on Aging (Baldereschi et al. EFNS 2009).

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Extended- versus immediate-release pramipexole: comparable effects

 

REPORT FROM THE 13TH CONGRESS OF THE EUROPEAN FEDERATION OF NEUROLOGICAL SOCIETIES (EFNS), FLORENCE, ITALY, SEPTEMBER 12-15, 2009 – A 33-week comparison of extended-release (once-daily) and immediate-release (TID) pramipexole reports that the two formulations are comparable in patients with early Parkinson’s disease (Poewe et al. EFNS 2009).  A total of 539 patients were randomized to pramipexole ER, pramipexole IR or placebo. Doses were titrated up to 4.5 mg/day followed by maintenance at the optimized dose. Levodopa was permitted as a rescue medication.

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Assessing the nocebo effect in MS trials

 

REPORT FROM THE 25th CONGRESS OF THE ECTRIMS – Dusseldorf, Germany, September 9-12, 2009  A majority of patients in the placebo arm of MS treatment trials report nocebo reactions, defined as the development of nonspecific adverse effects following administration of a placebo (Kennedy WP. Med World 1961; 95: 203-205), according to an analysis of 60 trials of disease-modifying drugs (Papadopoulos & Mitsikostas. ECTRIMS 2009).
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Pulsed methylprednisolone: MECOMBIN trial results

 

REPORT FROM THE 25th CONGRESS OF THE ECTRIMS – Dusseldorf, Germany, September 9-12, 2009  The results of the MECOMBIN trial of pulsed methylprednisolone plus intramuscular beta-interferon-1a indicate that the combination is not more effective in delaying the onset of disability progression, although improvements in relapse rate and functional scores were observed (Ravnborg et al. ECTRIMS 2009).
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