Neurology

Parkinson motor score higher with suboptimal adherence

 

Medication adherence in Parkinson’s disease patients may be poor as a result of motor symptoms, complex dosing regimens, the need for multiple medications and patients’ lack of awareness about the clinical impact of poor adherence.

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Pneumonia a common cause of death in dementia patients

 

Bronchopneumonia and ischemic heart disease are the most common causes of death among dementia patients, according to a review of autopsy reports at University Hospital, Lund, Sweden (Brunnstrom & Englund. Eur J Neurol 2009; epublished January 26, 2009).
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Phase I/II study of non-myeloablative SCT in RRMS

 

Researchers in Chicago have conducted a phase I/II trial of autologous non-myeloablative hematopoietic stem cell transplantation (SCT) in 21 relapsing-remitting MS patients (Burt et al. Lancet Neurol 2009; epublished January 29, 2009). All subjects had experienced >2 steroid-treated relapses or 1 relapse with Gd-enhancing lesions in the previous 12 months despite treatment with a beta-interferon.

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No unfavourable effects of fasting in MS

 

A study in Iran has examined the effect of prolonged fasting during Ramadan in adult MS patients (Saadatnia et al. Eur Neurol 2009; 61:230-232). The prospective study compared 40 MS patients who fasted with 40 non-fasting MS controls. All patients had mild disability at entry (EDSS score < 3). Clinical symptoms and EDSS changes were assessed in the 6 months following Ramadan.

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Randomized trial of donepezil in MCI

 

Cholinesterase inhibitors may produce small improvements in cognitive functioning in patients with mild cognitive impairment (MCI) but do not appear to benefit global functioning, according to the results of a new multicentre, randomized trial (Doody et al. Neurology 2009; epublished January 28, 2009).
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