International Journal of Gerontology
Volume 1, Issue 2 , Pages 53-64, June 2007

Non-motor Symptoms of Parkinson's Disease

  • Jyh-Gong Gabriel Hou

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr Jyh-Gong Gabriel Hou, Parkinson's Disease Research, Education and Clinical Center, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX 77030, USA
  • ,
  • Eugene C Lai

Parkinson's Disease Research, Education and Clinical Center, Michael E. DeBakey VA Medical Center, Baylor College of Medicine, Houston, TX, USA

Accepted 30 March 2007.

Article Outline

SUMMARY 

In addition to the typical motor symptoms (resting tremor, cogwheel rigidity, bradykinesia, postural instability) of Parkinson's disease (PD), non-motor symptoms are sources of considerable burden in people with PD, espe-cially in elderly patients. The usual non-motor symptoms include cognitive declines, psychiatric disturbances (depression, psychosis, impulse control), autonomic failures (gastrointestinal, cardiovascular, urinary, sexual ability, thermoregulation), sleep difficulties, and pain syndrome. This review article discusses the characteristics, pathophysiology, epidemiology, and management of these symptoms.

Key Words:  dementia , depression , dysautonomia , non-motor symptoms , Parkinson's disease , psychosis , sleep

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References 

  1. Parkinson J . An essay on the shaking palsy . J Neuropsychiatry Clin Neurosci . 2002;14:223–236 Discussion, 222.
  2. Tanner CM , Aston DA . Epidemiology of Parkinson's disease and akinetic syndromes . Curr Opin Neurol . 2000;13:427–430
  3. Chaudhuri KR , Healy DG , Schapira AH . Non-motor symptoms of Parkinson's disease: diagnosis and management . Lancet Neurol . 2006;5:235–245
  4. Adler CH . Nonmotor complications in Parkinson's disease . Mov Disord . 2005;20(Suppl 11):S23–S29
  5. Habermann-Little B . An analysis of the prevalence and etiology of depression in Parkinson's disease . J Neurosci Nurs . 1991;23:165–169
  6. Kostic VS , Filipovic SR , Lecic D , Momcilovic D , Sokic D , Sternic N . Effect of age at onset on frequency of depression in Parkinson's disease . J Neurol Neurosurg Psychiatry . 1994;57:1265–1267
  7. Hantz P , Caradoc-Davies G , Caradoc-Davies T , Weatherall M , Dixon G . Depression in Parkinson's disease . Am J Psychiatry . 1994;151:1010–1014
  8. Pollock M , Hornabrook RW . The prevalence, natural history and dementia of Parkinson's disease . Brain . 1966;89:429–448
  9. Emre M . Dementia associated with Parkinson's disease . Lancet Neurol . 2003;2:229–237
  10. Rippon GA , Marder KS . Dementia in Parkinson's disease . Adv Neurol . 2005;96:95–113
  11. Schenck CH , Bundlie SR , Mahowald MW . Delayed emergence of a parkinsonian disorder in 38% of 29 older men initially diagnosed with idiopathic rapid eye movement sleep behaviour disorder . Neurology . 1996;46:388–393
  12. Olson EJ , Boeve BF , Silber MH . Rapid eye movement sleep behaviour disorder: demographic, clinical and laboratory findings in 93 cases . Brain . 2000;123:331–339
  13. Magerkurth C , Schnitzer R , Braune S . Symptoms of autonomic failure in Parkinson's disease: prevalence and impact on daily life . Clin Auton Res . 2005;15:76–82
  14. Hobson P , Islam W , Roberts S , Adhiyman V , Meara J . The risk of bladder and autonomic dysfunction in a community cohort of Parkinson's disease patients and normal controls . Parkinsonism Relat Disord . 2003;10:67–71
  15. Visser M , Marinus J , Stiggelbout AM , Van Hilten JJ . Assessment of autonomic dysfunction in Parkinson's disease: the SCOPA-AUT . Mov Disord . 2004;19:1306–1312
  16. Siddiqui MF , Rast S , Lynn MJ , Auchus AP , Pfeiffer RF . Autonomic dysfunction in Parkinson's disease: a comprehensive symptom survey . Parkinsonism Relat Disord . 2002;8:277–284
  17. Braune S , Reinhardt M , Schnitzer R , Riedel A , Lucking CH . Cardiac uptake of [123I] MIBG separates Parkinson's disease from multiple system atrophy . Neurology . 1999;53:1020–1025
  18. Taki J , Nakajima K , Hwang E-H , Matsunari I , Komai K , Yoshita M , et al.   Peripheral sympathetic dysfunction in patients with Parkinson's disease without autonomic failure is heart selective and disease specific . Eur J Nucl Med . 2000;27:566–573
  19. Paulus W , Jellinger K . The neuropathologic basis of different clinical subgroups of Parkinson's disease . J Neuropathol Exp Neurol . 1991;50:743–755
  20. Brown AS , Gershon S . Dopamine and depression . J Neural Transm Gen Sect . 1993;91:75–109
  21. Middleton FA , Strick PL . Basal ganglia output and cognition: evidence from anatomical, behavioral, and clinical studies . Brain Cogn . 2000;42:183–200
  22. Clower DM , Dum RP , Strick PL . Basal ganglia and cerebellar inputs to ‘AIP’ . Cereb Cortex . 2005;15:913–920
  23. Benarroch EE . Central neurotransmitters and neuromodulators in cardiovascular regulation . In:  Mathias CJ ,  Bannister R editor. Autonomic Failure . 4th edition. Oxford: Oxford University Press; 1999;p. 37–44
  24. Goldstein DS , Holmes CS , Dendi R , Bruce SR , Li ST . Orthostatic hypotension from sympathetic denervation in Parkinson's disease . Neurology . 2002;58:1247–1255
  25. Dewey RB . Autonomic dysfunction in Parkinson's disease . Neurol Clin . 2004;22(3 Suppl):S127–S139
  26. Braak H , Del Tredici K , Bratzke H , Hamm-Clement J , Sandmann-Keil D , Rub U . Staging of the intracerebral inclusion body pathology associated with idiopathic Parkinson's disease (preclinical and clinical stages) . J Neurol . 2002;249(Suppl 3):III/1–III/5
  27. Braak H , Del Tredici K , Rub U , de Vos RAI , Jansen Steur ENH , Braak E . Staging of brain pathology related to sporadic Parkinson's disease . Neurobiol Aging . 2003;24:197–210
  28. Braak H , Ghebremedhin E , Rub U , Bratzke H , Del Tredici K . Stages in the development of Parkinson's disease-related pathology . Cell Tissue Res . 2004;318:121–134
  29. Doder M , Rabiner EA , Turjanski N , Lees AJ , Brooks DJ . Brain serotonin 5HT1A receptors in Parkinson's disease with and without depression measured by positron emission tomography with 11C-WAY 10635 . Mov Disord . 2000;15:213
  30. Mossner R , Henneberg A , Schmitt A , Syagailo YV , Grassle M , Hennig T , et al.   Allelic variation of serotonin transporter expression is associated with depression in Parkinson's disease . Mol Psychiatry . 2001;6:350–352
  31. Veazey C , Aki SO , Cook KF , Lai EC , Kunik ME . Prevalence and treatment of depression in Parkinson's disease . J Neuropsychiatry Clin Neurosci . 2005;17:310–323
  32. Henderson R , Kurlan R , Kersun JM , Como P . Preliminary examination of the comorbidity of anxiety and depression in Parkinson's disease . J Neuropsychiatry Clin Neurosci . 1992;4:257–264
  33. Slaughter JR , Slaughter KA , Nichols D , Holmes SE , Martens MP . Prevalence, clinical manifestations, etiology, and treatment of depression in Parkinson's disease . J Neuropsychiatry Clin Neurosci . 2001;13:187–196
  34. Cummings JL . Depression and Parkinson's disease: a review . Am J Psychiatry . 1992;149:443–454
  35. Cole SA , Woodard JL , Juncos JL , Kogos JL , Youngstrom EA , Watts RL . Depression and disability in Parkinson's disease . J Neuropsychiatry Clin Neurosci . 1996;8:20–25
  36. Starkstein SE , Petracca G , Chemerinski E , Teson A , Sabe L , Merelllo M , et al.   Depression in classic versus akinetic-rigid Parkinson's disease . Mov Disord . 1998;13:29–33
  37. Schrag A , Jahanshahi M , Quinn NP . What contributes to depression in Parkinson's disease? . Psychol Med . 2001;31:65–73
  38. Richard IH , Kurlan R , Tanner C , Factor S , Hubble J , Suchowersky O , et al.   Serotonin syndrome and the combined use of deprenyl and an antidepressant in Parkinson's disease. Parkinson Study Group . Neurology . 1997;48:1070–1077
  39. Weintraub D , Morales KH , Moberg PJ , Bilker WB , Balderston C , Duda JE , et al.   Antidepressant studies in Parkinson's disease: a review and meta-analysis . Mov Disord . 2005;20:1161–1169
  40. Aarsland D , Larsen JP , Waage O , Langeveld JH . Maintenance of electroconvulsive therapy for Parkinson's disease . Convuls Ther . 1997;13:274–277
  41. Moellentine C , Rummans T , Ahlskog JE , Harmsen WS , Suman VJ , O'Connor MK , et al.   Effectiveness of ECT in patients with parkinsonism . J Neuropsychiatry Clin Neurosci . 1998;10:187–193
  42. Menza MA , Robertson-Hoffman DE , Bonapace AS . Parkinson's disease and anxiety: comorbidity with depression . Biol Psychiatry . 1993;34:465–470
  43. Walsh K , Bennett G . Parkinson's disease and anxiety . Postgrad Med J . 2001;77:89–93
  44. Menza MA , Sage J , Marshall E , Cody R , Duvoisin R . Mood changes and “on-off” phenomena in Parkinson's disease . Mov Disord . 1990;5:148–151
  45. Menza M , Marin H , Kaufman K , Mark M , Lauritano M . Citalopram treatment of depression in Parkinson's disease: the impact on anxiety, disability, and cognition . J Neuropsychiatry Clin Neurosci . 2004;16:315–319
  46. Weintraub D , Stern MB . Psychiatric complications in Parkinson disease . Am J Geriatr Psychiatry . 2005;13:844–851
  47. Aarsland D , Andersen K , Larsen JP , Lolk A , KraghSorensen P . Prevalence and characteristics of dementia in Parkinson disease: an 8-year prospective study . Arch Neurol . 2003;60:387–392
  48. Alexander GE , DeLong MR , Strick PL . Parallel organization of functionally segregated circuits linking basal ganglia and cortex . Annu Rev Neurosci . 1986;9:357–381
  49. Calabresi P , Picconi B , Parnetti L , Di Filippo M . A convergent model for cognitive dysfunctions in Parkinson's disease: the critical dopamine-acetylcholine synaptic balance . Lancet Neurol . 2006;5:974–983
  50. Cooper B , Holmes C . Previous psychiatric history as a risk factor for late-life dementia: a population-based case-control study . Age Ageing . 1998;27:181–188
  51. Haugarvoll K , Aarsland D , Wentzel-Larsen T , Larsen JP . The influence of cerebrovascular risk factors on incident dementia in patients with Parkinson's disease . Acta Neurol Scand . 2005;112:386–390
  52. Pillon B , Boller F , Levy R , Dubois B . Cognitive deficits and dementia in Parkinson's disease . In:  Boller F ,  Cappa S editor. Aging and Dementia . Amsterdam: Elsevier; 2001;p. 311–372
  53. Bertrand E , Lechowicz W , Szpak GM , Lewandowska E , Dymecki J , Wierzba-Bobrowicz T . Limbic neuropathology in idiopathic Parkinson's disease with concomitant dementia . Folia Neuropathol . 2004;42:141–150
  54. Iseki E . Dementia with Lewy bodies: reclassification of pathological subtypes and boundary with Parkinson's disease or Alzheimer's disease . Neuropathology . 2004;24:72–78
  55. McKeith IG , Dickson DW , Lowe J , Emre M , O'Brien JT , Feldman H , et al.   Diagnosis and management of dementia with Lewy bodies: third report of the DLB Consortium . Neurology . 2005;65:1863–1872
  56. McKeith IG , Ballard CG , Perry RH , Ince PG , O'Brien JT , Neill D , et al.   Prospective validation of consensus criteria for the diagnosis of dementia with Lewy bodies . Neurology . 2000;54:1050–1058
  57. Emre M , Aarsland D , Albanese A , Byrne EJ , Deuschl G , De Deyn PP , et al.   Rivastigmine for dementia associated with Parkinson's disease . N Engl J Med . 2004;351:2509–2518
  58. Siddiqui MA , Wagstaff AJ . Rivastigmine: in Parkinson's disease dementia . CNS Drugs . 2006;20:739–747
  59. Boeve BF . Evidence for cholinesterase-inhibitor therapy for dementia associated with Parkinson's disease . Lancet Neurol . 2005;4:137–138
  60. Inzelberg R , Bonuccelli U , Schechtman E , Miniowich A , Strugatsky R , Ceravolo R , et al.   Association between amantadine and the onset of dementia in Parkinson's disease . Mov Disord . 2006;21:1375–1379
  61. Menendez-Gonzalez M , Calatayud MT , Blazquez-Menes B . Exacerbation of Lewy bodies dementia due to memantine . J Alzheimers Dis . 2005;8:289–291
  62. Diederich NJ , Goetz CG , Stebbins GT . Repeated visual hallucinations in Parkinson's disease as disturbed external/internal perceptions: focused review and a new integrative model . Mov Disord . 2005;20:130–140
  63. Goetz CG , Stebbins GT . Mortality and hallucinations in nursing home patients with advanced Parkinson's disease . Neurology . 1995;45:669–671
  64. Chou KL , Messing S , Oakes D , Feldman PD , Breier A , Friedman JH . Drug-induced psychosis in Parkinson disease: phenomenology and correlations among psychosis rating instruments . Clin Neuropharmacol . 2005;28:215–219
  65. Fenelon G , Mahieux F , Huon R , Ziegler M . Hallucinations in Parkinson's disease: prevalence, phenomenology and risk factors . Brain . 2000;123:733–745
  66. Aarsland D , Larsen JP , Karlsen K , Lim NG , Tandberg E . Mental symptoms in Parkinson's disease are important contributors to caregiver distress . Int J Geriatr Psychiatry . 1999;14:866–874
  67. Miyasaki JM , Shannon K , Voon V , Ravina B , KleinerFisman G , Anderson K , et al.   Practice Parameter: evaluation and treatment of depression, psychosis, and dementia in Parkinson disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology . Neurology . 2006;66:996–1002
  68. Merims D , Balas M , Peretz C , Shabtai H , Giladi N . Rater-blinded, prospective comparison: quetiapine versus clozapine for Parkinson's disease psychosis . Clin Neuropharmacol . 2006;29:331–337
  69. Tariot PN , Schneider L , Katz IR , Mintzer JE , Street J , Copenhaver M , et al.   Quetiapine treatment of psychosis associated with dementia: a double-blind, randomized, placebo-controlled clinical trial . Am J Geriatr Psychiatry . 2006;14:767–776
  70. Yang SY , Kao Yang YH , Chong MY , Yang YH , Chang WH , Lai CS . risk of extrapyramidal syndrome in schizophrenic patients treated with antipsychotics: a population-based study . Clin Pharmacol Ther . 2007;81:586–594
  71. Frieling H , Hillemacher T , Ziegenbein M , Neundorfer B , Bleich S . Treating dopamimetic psychosis in Parkinson's disease: structured review and meta-analysis . Eur Neuropsychopharmacol . 2007;17:165–171
  72. Stacy M . Sleep disorders in Parkinson's disease: epidemiology and management . Drugs Aging . 2002;19:733–739
  73. Onofrj M , Thomas A , D'Andreamatteo G , Iacono D , Luciano AL , Di Rollo A , et al.   Incidence of RBD and hallucination in patients affected by Parkinson's disease: 8-year follow-up . Neurol Sci . 2002;23(Suppl 2):S91–S94
  74. Lauterbach EC . The neuropsychiatry of Parkinson's disease and related disorders . Psychiatr Clin North Am . 2004;27:801–825
  75. Postuma RB , Lang AE , Massicotte-Marquez J , Montplaisir J . Potential early markers of Parkinson disease in idiopathic REM sleep behavior disorder . Neurology . 2006;66:845–851
  76. De Cock VC , Vidailhet M , Leu S , Texeira A , Apartis E , Elbaz A , et al.   Restoration of normal motor control in Parkinson's disease during REM sleep . Brain . 2007;130:450–456
  77. Barone P , Amboni M , Vitale C , Bonavita V . Treatment of nocturnal disturbances and excessive daytime sleepiness in Parkinson's disease . Neurology . 2004;63(8 Suppl 3):S35–S38
  78. Poryazova RG , Zachariev ZI . REM sleep behavior disorder in patients with Parkinson's disease . Folia Med (Plovdiv) . 2005;47:5–10
  79. Rye DB . Excessive daytime sleepiness and unintended sleep in Parkinson's disease . Curr Neurol Neurosci Rep . 2006;6:169–176
  80. Andreu N , Chale JJ , Senard JM , Thalamas C , Montastruc JL , Rascol O . L-dopa-induced sedation: a double-blind cross-over controlled study versus triazolam and placebo in healthy volunteers . Clin Neuropharmacol . 1999;22:15–23
  81. Frucht S , Rogers JD , Greene PE , Gordon MF , Fahn S . Falling asleep at the wheel: motor vehicle mishaps in persons taking pramipexole and ropinirole . Neurology . 1999;52:1908–1910
  82. Gjerstad MD , Alves G , Wentzel-Larsen T , Aarsland D , Larsen JP . Excessive daytime sleepiness in Parkinson disease: is it the drugs or the disease? . Neurology . 2006;67:853–858
  83. Hogl B , Saletu M , Brandauer E , Glatzl S , Frauscher B , Seppi K , et al.   Modafinil for the treatment of daytime sleepiness in Parkinson's disease: a double-blind, randomized, crossover, placebo-controlled polygraphic trial . Sleep . 2002;25:905–909
  84. Adler CH , Caviness JN , Hentz JG , Lind M , Tiede J . Randomized trial of modafinil for treating subjective daytime sleepiness in patients with Parkinson's disease . Mov Disord . 2003;18:287–293
  85. Ondo WG , Fayle R , Atassi F , Jankovic J . Modafinil for daytime somnolence in Parkinson's disease: double blind, placebo controlled parallel trial . J Neurol Neurosurg Psychiatry . 2005;76:1636–1639
  86. Garcia-Borreguero D , Odin P , Serrano C . Restless legs syndrome and PD: a review of the evidence for a possible association . Neurology . 2003;61(6 Suppl 3):S49–S55
  87. Rye DB . Parkinson's disease and RLS: the dopaminergic bridge . Sleep Med . 2004;5:317–328
  88. Poewe W , Hogl B . Akathisia, restless legs and periodic limb movements in sleep in Parkinson's disease . Neurology . 2004;63(8 Suppl 3):S12–S16
  89. Krishnan PR , Bhatia M , Behari M . Restless legs syndrome in Parkinson's disease: a case-controlled study . Mov Disord . 2003;18:181–185
  90. Poewe W , Hogl B . Akathisia, restless legs and periodic limb movements in sleep in Parkinson's disease . Neurology . 2004;63(8 Suppl 3):S12–S16
  91. Nomura T , Inoue Y , Nakashima K . Clinical characteristics of Restless legs syndrome in patients with Parkinson's disease . J Neurol Sci . 2006;250:39–44
  92. Ondo W , Romanyshyn J , Vuong KD , Lai D . Long-term treatment of restless legs syndrome with dopamine agonists . Arch Neurol . 2004;61:1393–1397
  93. Montplaisir J , Karrasch J , Haan J , Volc D . Ropinirole is effective in the long-term management of restless legs syndrome: a randomized controlled trial . Mov Disord . 2006;21:1627–1635
  94. Bogan RK , Fry JM , Schmidt MH , Carson SW , Ritchie SY , TREAT RLS US Study Group  . Ropinirole in the treatment of patients with restless legs syndrome: a US-based randomized, double-blind, placebo-controlled clinical trial . Mayo Clin Proc . 2006;81:17–27
  95. Oertel WH , Stiasny-Kolster K , Bergtholdt B , Hallstrom Y , Albo J , Leissner L , et al.   Pramipexole RLS Study Group. Efficacy of pramipexole in restless legs syndrome: a six-week, multicenter, randomized, double-blind study (effect-RLS study) . Mov Disord . 2007;22:213–219
  96. Lesage S , Hening WA . The restless legs syndrome and periodic limb movement disorder: a review of management . Semin Neurol . 2004;24:249–259
  97. Kurlan R , Richard IH , Deeley C . Medication tolerance and augmentation in restless legs syndrome: the need for drug class rotation . J Gen Intern Med . 2006;21:C1–C4
  98. Montagna P . The treatment of restless legs syndrome . Neurol Sci . 2007;28(Suppl 1):S61–S66
  99. Driver-Dunckley E , Evidente VG , Adler CH , Hillman R , Hernandez J , Fletcher G , et al.   Restless legs syndrome in Parkinson's disease patients may improve with subthalamic stimulation . Mov Disord . 2006;21:1287–1289
  100. Benarroch EE . Central neurotransmitters and neuromodulators in cardiovascular regulation . In:  Mathias CJ ,  Bannister R editor. Autonomic Failure . 4th edition. Oxford: Oxford University Press; 1999;p. 37–44
  101. Goldstein DS . Orthostatic hypotension as an early finding in Parkinson's disease . Clin Auton Res . 2006;16:46–54
  102. Kujawa K , Leurgans S , Raman R , Blasucci L , Goetz CG . Acute orthostatic hypotension when starting dopamine agonists in Parkinson's disease . Arch Neurol . 2000;57:1461–1463
  103. Etminan M , Gill S , Samii A . Comparison of the risk of adverse events with pramipexole and ropinirole in patients with Parkinson's disease: a meta-analysis . Drug Saf . 2003;26:439–444
  104. Desboeuf K , Grau M , Riche F , Fradin M , Bez J , Montastruc JL , et al.   Prevalence and costs of parkinsonian syndromes associated with orthostatic hypotension . Therapie . 2006;61:93–99
  105. Khan NL , Graham E , Critchley P , Schrag AE , Wood NW , Lees AJ , et al.   Parkin disease: a phenotypic study of a large case series . Brain . 2003;126:1279–1292
  106. Pfeiffer RF . Gastrointestinal dysfunction in Parkinson's disease . Lancet Neurol . 2003;2:107–116
  107. Kaye J , Gage H , Kimber A , Storey L , Trend P . Excess burden of constipation in Parkinson's disease: a pilot study . Mov Disord . 2006;21:1270–1273
  108. Byrne KG , Pfeiffer R , Quigley EM . Gastrointestinal dysfunction in Parkinson's disease: a report of clinical experience at a single center . J Clin Gastroenterol . 1994;19:11–16
  109. Ueki A , Otsuka M . Life style risks of Parkinson's disease: association between decreased water intake and constipation . J Neurol . 2004;251(Suppl 7):vii18–vii23
  110. Jost WH , Eckardt VF . Constipation in idiopathic Parkinson's disease . Scand J Gastroenterol . 2003;38:681–686
  111. Miller N , Noble E , Jones D , Burn D . Hard to swallow: dysphagia in Parkinson's disease . Age Ageing . 2006;35:614–618
  112. Diamond A , Jankovic J . Treatment of advanced Parkinson's disease . Expert Rev Neurother . 2006;6:1181–1197
  113. Sempere AP , Duarte J , Cabezas C , Claveria LE , Coria F . Aggravation of parkinsonian tremor by cisapride . Clin Neuropharmacol . 1995;18:76–78
  114. Winge K , Skau AM , Stimpel H , Nielsen KK , Werdelin L . Prevalence of bladder dysfunction in Parkinson's disease . Neurourol Urodyn . 2006;25:116–122
  115. Hobson P , Islam W , Roberts S , Adhiyman V , Meara J . The risk of bladder and autonomic dysfunction in a community cohort of Parkinson's disease patients and normal controls . Parkinsonism Relat Disord . 2003;10:67–71
  116. Winge K , Friberg L , Werdelin L , Nielsen KK , Stimpel H . Relationship between nigrostriatal dopaminergic degeneration, urinary symptoms, and bladder control in Parkinson's disease . Eur J Neurol . 2005;12:842–850
  117. Winge K , Werdelin LM , Nielsen KK , Stimpel H . Effects of dopaminergic treatment on bladder function in Parkinson's disease . Neurourol Urodyn . 2004;23:689–696
  118. Uchiyama T , Sakakibara R , Hattori T , Yamanishi T . Short-term effect of a single levodopa dose on micturition disturbance in Parkinson's disease patients with the wearing-off phenomenon . Mov Disord . 2003;18:573–578
  119. Papatsoris AG , Deliveliotis C , Singer C , Papapetropoulos S . Erectile dysfunction in Parkinson's disease . Urology . 2006;67:447–451
  120. Zesiewicz TA , Helal M , Hauser RA . Sildenafil citrate (Viagra) for the treatment of erectile dysfunction in men with Parkinson's disease . Mov Disord . 2000;15:305–308
  121. Hussain IF , Brady CM , Swinn MJ , Mathias CJ , Fowler CJ . Treatment of erectile dysfunction with sildenafil citrate (Viagra) in parkinsonism due to Parkinson's disease or multiple system atrophy with observations on orthostatic hypotension . J Neurol Neurosurg Psychiatry . 2001;71:371–374
  122. Raffaele R , Vecchio I , Giammusso B , Morgia G , Brunetto MB , Rampello L . Efficacy and safety of fixeddose oral sildenafil in the treatment of sexual dysfunction in depressed patients with idiopathic Parkinson's disease . Eur Urol . 2002;41:382–386
  123. Pohanka M , Kanovsky P , Bares M , Pulkrabek J , Rektor I . The long-lasting improvement of sexual dysfunction in patients with advanced, fluctuating Parkinson's disease induced by pergolide: evidence from the results of an open, prospective, one-year trial . Parkinsonism Relat Disord . 2005;11:509–512
  124. Cannas A , Solla P , Floris G , Tacconi P , Loi D , Marcia E , et al.   Hypersexual behaviour, frotteurism and delusional jealousy in a young parkinsonian patient during dopaminergic therapy with pergolide: a rare case of iatrogenic paraphilia . Prog Neuropsychopharmacol Biol Psychiatry . 2006;30:1539–1541
  125. Weintraub D , Potenza MN . Impulse control disorders in Parkinson's disease . Curr Neurol Neurosci Rep . 2006;6:302–306
  126. Swinn L , Schrag A , Viswanathan R , Bloem BR , Lees A , Quinn N . Sweating dysfunction in Parkinson's disease . Mov Disord . 2003;18:1459–1463
  127. Schestatsky P , Valls-Sole J , Ehlers JA , Rieder CR , Gomes I . Hyperhidrosis in Parkinson's disease . Mov Disord . 2006;21:1744–1748

PII: S1873-9598(08)70024-3

doi:10.1016/S1873-9598(08)70024-3

International Journal of Gerontology
Volume 1, Issue 2 , Pages 53-64, June 2007