Skip to main content
British Medical Journal logoLink to British Medical Journal
. 1971 Nov 27;4(5786):522–524. doi: 10.1136/bmj.4.5786.522

Effect of Age and Arteriosclerosis on the Response of Parkinsonian Patients to Levodopa

R B Godwin-Austen, S Bergmann, C C Frears
PMCID: PMC1799802  PMID: 4942463

Abstract

Twenty-four patients with Parkinsonism were treated with levodopa for up to one year. Ten were aged under 65, 12 were aged 65 or over, and two were specifically included because they were considered to have arteriosclerotic Parkinsonism. These two patients showed no response to treatment. The 10 younger patients showed less clinical evidence of arteriosclerosis than the older ones, and responded significantly better to treatment with levodopa. Mean improvement was 61% in the younger group after 12 months' treatment and 28% in the older group. Improvement was greatest within three months of starting treatment. Abnormal movements which resulted from treatment with levodopa could be reduced with only slight loss of therapeutic benefit by the addition of tetrabenazine.

Full text

PDF
522

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barbeau A. Importance and pathogenesis of abnormal movements during L-dopa therapy of Parkinson's disease. Neurology. 1970 Apr;20(4):377–377. [PubMed] [Google Scholar]
  2. Calne D. B., Stern G. M., Laurence D. R., Sharkey J., Armitage P. L-dopa in postencephalitic parkinsonism. Lancet. 1969 Apr 12;1(7598):744–746. doi: 10.1016/s0140-6736(69)91751-6. [DOI] [PubMed] [Google Scholar]
  3. Calne D. B., Stern G. M., Spiers A. S., Laurence D. R. L-dopa in idiopathic parkinsonism. Lancet. 1969 Nov 8;2(7628):973–976. doi: 10.1016/s0140-6736(69)90536-4. [DOI] [PubMed] [Google Scholar]
  4. Cotzias G. C., Papavasiliou P. S., Gellene R. Modification of Parkinsonism--chronic treatment with L-dopa. N Engl J Med. 1969 Feb 13;280(7):337–345. doi: 10.1056/NEJM196902132800701. [DOI] [PubMed] [Google Scholar]
  5. EADIE M. J., SUTHERLAND J. M. ARTERIOSCLEROSIS IN PARKINSONISM. J Neurol Neurosurg Psychiatry. 1964 Jun;27:237–240. doi: 10.1136/jnnp.27.3.237. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Garland H. Some Clinical Aspects of Parkinsonism [Abridged]. Proc R Soc Med. 1955 Nov;48(11):867–868. doi: 10.1177/003591575504801104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Godwin-Austen R. B., Frears C. C., Bergmann S. Incidence of side effects from levodopa during the introduction of treatment. Br Med J. 1971 Jan 30;1(5743):267–268. doi: 10.1136/bmj.1.5743.267. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Godwin-Austen R. B., Tomlinson E. B., Frears C. C., Kok H. W. Effects of L-dopa in Parkinson's disease. Lancet. 1969 Jul 26;2(7613):165–168. doi: 10.1016/s0140-6736(69)91417-2. [DOI] [PubMed] [Google Scholar]
  9. Hughes R. C., Polgar J. G., Weightman D., Walton J. N. L-dopa in Parkinsonism and the influence of previous thalamotomy. Br Med J. 1971 Jan 2;1(5739):7–13. doi: 10.1136/bmj.1.5739.7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Mena I., Court J., Fuenzalida S., Papavasiliou P. S., Cotzias G. C. Modification of chronic manganese poisoning. Treatment with L-dopa or 5-OH tryptophane. N Engl J Med. 1970 Jan 1;282(1):5–10. doi: 10.1056/NEJM197001012820102. [DOI] [PubMed] [Google Scholar]
  11. Peaston M. J., Bianchine J. R. Metabolic studies and clinical observations during L-dopa treatment of Parkinson's disease. Br Med J. 1970 Feb 14;1(5693):400–403. doi: 10.1136/bmj.1.5693.400. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Yahr M. D., Duvoisin R. C., Hoehn M. M., Schear M. J., Barrett R. E. L-Dopa (L-3,4-dihydroxyphenylanine)--its clinical effects in parkinsonism. Trans Am Neurol Assoc. 1968;93:56–63. [PubMed] [Google Scholar]
  13. Yahr M. D., Duvoisin R. C., Schear M. J., Barrett R. E., Hoehn M. M. Treatment of parkinsonism with levodopa. Arch Neurol. 1969 Oct;21(4):343–354. doi: 10.1001/archneur.1969.00480160015001. [DOI] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES