Clinical Perspectives of Parkinson's Disease for Ophthalmologists, Otorhinolaryngologists, Cardiologists, Dentists, Gastroenterologists, Urologists, Physiatrists, and Psychiatrists

J Korean Med Sci. 2020 Jul 20;35(28):e230. doi: 10.3346/jkms.2020.35.e230.

Abstract

Parkinson's disease (PD) is a multisystemic disorder characterized by various non-motor symptoms (NMS) in addition to motor dysfunction. NMS include sleep, ocular, olfactory, throat, cardiovascular, gastrointestinal, genitourinary, or musculoskeletal disorders. A range of NMS, particularly hyposmia, sleep disturbances, constipation, and depression, can even appear prior to the motor symptoms of PD. Because NMS can affect multiple organs and result in major disabilities, the recognition and multidisciplinary and collaborative management of NMS by physicians is essential for patients with PD. Therefore, the aim of this review article is to provide an overview of the organs that are affected by NMS in PD together with a brief review of pathophysiology and treatment options.

Keywords: Non-motor Symptoms; Parkinson's Disease.

Publication types

  • Review

MeSH terms

  • Antiparkinson Agents / therapeutic use
  • Cardiovascular Diseases / complications
  • Cardiovascular Diseases / drug therapy
  • Cholinergic Antagonists / therapeutic use
  • Eye Diseases / complications
  • Eye Diseases / drug therapy
  • Gastrointestinal Diseases / complications
  • Humans
  • Olfaction Disorders / complications
  • Olfaction Disorders / drug therapy
  • Parkinson Disease / complications
  • Parkinson Disease / drug therapy
  • Parkinson Disease / pathology*
  • Skin Diseases / complications
  • Skin Diseases / drug therapy
  • Sleep Wake Disorders / complications
  • Sleep Wake Disorders / drug therapy

Substances

  • Antiparkinson Agents
  • Cholinergic Antagonists