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Submited on: 08 Nov 2010 10:15:13 AM GMT
Published on: 08 Nov 2010 10:14:09 PM GMT
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Competing interests:
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Experience and credentials in the specific area of science:
14 years
- How to cite: Krishan P .Clinical Complexities Of Parkinson's Disease: An Updated View [Review of the article 'Clinical Complexities Of Parkinson's Disease: An Updated View ' by Goyal A].WebmedCentral 2011;2(1):WMCRW00401
The authors did a good work in trying to sum up some of the most disturbing problems in parkinson's disease (PD). Nonetheless, I have some major remarks,
1. Authors speak about the non-dopaminergic origin of many of these sympotms without giving evidence about it. This is important, specially in view of possible treatments.
2. Some very important adverse reactions to dopaminergic therapy, i.e. impulse-control disorders, represents also clinical complexities in PD but were not included in the review.
3. Similarly important symptoms such apathy, fall, fear to fall, etc were negleted or insuficiently described.
4. I would have loved to see a table summing up the reviewed complexities.
5. Some references are missing, for example in the "Voice Changing / sialorrhea" section.
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No
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Decision-making in Parkinson's disease patients with and without pathological gambling. Rossi M, Gerschcovich ER, de Achaval D, Perez-Lloret S, Cerquetti D, Cammarota A, In?s Nouzeilles M, Fahrer R, Merello M, Leiguarda R. Eur J Neurol. 2010 Jan;17(1):97-102. Epub 2009 Sep 23. Parkinson's disease sleep scale, sleep logs, and actigraphy in the evaluation of sleep in parkinsonian patients. Perez-Lloret S, Rossi M, Nouzeilles MI, Trenkwalder C, Cardinali DP, Merello M. J Neurol. 2009 Sep;256(9):1480-4. Epub 2009 Apr 29. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson's disease. Perez Lloret S, Pir?n Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Mov Disord. 2007 Jan;22(1):107-11.
7 years in pharmacoepidemiological research in the area