Das idiopathische Parkinsonsyndrom und Schmerz – diagnostische und therapeutische Ansätze für ein herausforderndes nicht-motorisches Symptom
Carsten Buhmann, Chi Wang Ip, Christian Oehlwein, Lars Tönges, Martin Wolz, Heinz Reichmann, Jan Kassubek · Fortschritte der Neurologie · Psychiatrie · 2018 · Heft S 01 S 01 · S. S48-S58
Bibliografische Angaben
Zusammenfassung
Abstract Pain affects 40 %–95 % of patients with Parkinson disease (PD) and reduces their quality of life but is often underdiagnosed and treated unsystematically. Pain aetiology and pain characteristics can be very heterogeneous, and although the optimisation of antiparkinsonian medication is essential for pain treatment, in most cases, additional therapies for sufficient treatment of pain are necessary. This paper describes the epidemiology and pathophysiology of pain in PD, delineates pain characteristics, highlights the methods of pain management in PD and how patients assess the effectiveness of the therapi…