Neurology

Differentiating subtypes of dementia in Parkinson’s disease

 

REPORT FROM THE 9th INTERNATIONAL CONFERENCE AD/PD, PRAGUE, CZECH REPUBLIC, MARCH 11-15, 2009 The Sydney Multicentre Study of Parkinson’s disease was initially a prospective 5-year trial comparing low-dose bromocriptine (< 30 mg/day) and low-dose levodopa-carbidopa (< 600/150 mg/day) in 149 previously untreated patients (mean age 62 years) with Parkinson’s disease (Hely et al. Med J Aust 1987;146:195-198).

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Participants were recruited between 1984 and 1987. Those subjects have now been followed for 20 years; assessments have included periodic neuropsychological testing at baseline and years 3, 5, 10, 15 and 20.

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Response to levodopa: long-term follow-up

 

REPORT FROM THE 9th INTERNATIONAL CONFERENCE AD/PD, PRAGUE, CZECH REPUBLIC, MARCH 11-15, 2009 An Australian longitudinal study of patients with Parkinson’s disease has found that cognitive decline is associated with progressive deteriorations in motor function (Alty et al. AD/PD 2009; 1999).

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The effects of stress in Parkinson’’s disease

 

REPORT FROM THE 9th INTERNATIONAL CONFERENCE AD/PD, PRAGUE, CZECH REPUBLIC, MARCH 11-15, 2009 The dopaminergic system is involved in mediating the effects of stress on motor function, which may explain the observation that stress can lead to the onset of parkinsonian symptoms or accelerate the progression of Parkinson’s disease.

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Comparing treatments for behavioural and psychological symptoms

 

REPORT FROM THE 9th INTERNATIONAL CONFERENCE AD/PD, PRAGUE, CZECH REPUBLIC, MARCH 11-15, 2009A single-centre open trial in Sweden has compared the use of galantamine and risperidone for the treatment of behavioural and psychological symptoms in dementia (BPSD) (Freund-Levi. AD/PD; 1290).

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Diabetes a risk factor for MCI, Alzheimer’s disease

 

REPORT FROM THE 9th INTERNATIONAL CONFERENCE AD/PD, PRAGUE, CZECH REPUBLIC, MARCH 11-15, 2009 – German researchers have analysed data from the Longitudinal Study on Adult Development and Aging to assess the impact of type 2 diabetes on the development of mild cognitive impairment (MCI) and Alzheimer’s disease (Toro et al. AD/PD; 427; published as Toro et al. J Alzheimers Dis 2009;16: 687-691)). All subjects were born in the period 1930-1932.

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