The origin of motor fluctuations in Parkinson's disease: importance of dopaminergic innervation and basal ganglia circuits

JA Obeso, M Rodriguez-Oroz, C Marin, F Alonso… - Neurology, 2004 - AAN Enterprises
The severity of dopamine depletion and the consequent pathophysiologic changes that
occur in basal ganglia circuits determine the severity of parkinsonian signs. Restoring the …

The hypothesis of the genesis of motor complications and continuous dopaminergic stimulation in the treatment of Parkinson's disease

F Stocchi - Parkinsonism & Related Disorders, 2009 - Elsevier
The symptoms of Parkinson's disease can become increasingly difficult to control as the
disease advances. Levodopa remains the most efficacious therapy for symptomatic …

Pathophysiology of motor fluctuations in Parkinson's disease

K Widnell - Movement Disorders: Official Journal of the …, 2005 - Wiley Online Library
Loss of dopamine neurons in Parkinson's disease (PD) initiates a complex stream of effects
that results in the development of tremor, bradykinesia, and rigidity. While levodopa remains …

Motor‐cortical oscillations in early stages of Parkinson's disease

B Pollok, V Krause, W Martsch, C Wach… - The Journal of …, 2012 - Wiley Online Library
Key points• Parkinson's disease (PD) is a common movement disorder due to dopaminergic
denervation of the basal ganglia. It is characterized by exaggerated oscillatory activity within …

Dopaminergic modulation of motor network dynamics in Parkinson's disease

J Michely, LJ Volz, MT Barbe, F Hoffstaedter… - Brain, 2015 - academic.oup.com
Although characteristic motor symptoms of Parkinson's disease such as bradykinesia
typically improve under dopaminergic medication, deficits in higher motor control are less …

The nonmotor features of Parkinson's disease: pathophysiology and management advances

H Reichmann, MD Brandt… - Current opinion in …, 2016 - journals.lww.com
The nonmotor features of Parkinson's disease: pathophysiolog... : Current Opinion in
Neurology The nonmotor features of Parkinson's disease: pathophysiology and …

[HTML][HTML] Distributed dopaminergic signaling in the basal ganglia and its relationship to motor disability in Parkinson's disease

S Zhai, Q Cui, DNV Simmons, DJ Surmeier - Current opinion in …, 2023 - Elsevier
The degeneration of mesencephalic dopaminergic neurons that innervate the basal ganglia
is responsible for the cardinal motor symptoms of Parkinson's disease (PD). It has been …

Relevance of motor complications in Parkinson's disease

CH Adler - Neurology, 2002 - AAN Enterprises
Although patients with Parkinson's disease usually respond to dopaminergic therapy with a
smooth, continued effect when medication is first initiated, many patients eventually develop …

Physiology and pathophysiology of Parkinson's disease

C Hamani, AM Lozano - Annals of the New York Academy of …, 2003 - Wiley Online Library
The behavior of neurons in the basal ganglia is severely disrupted in Parkinson's disease
(PD). In nonhuman parkinsonian primate models, the disturbance in neurons in basal …

Motor fluctuations and dyskinesia in Parkinson's disease

JG Nutt - Parkinsonism & related disorders, 2001 - Elsevier
Motor fluctuations and dyskinesia are common complications of long-term levodopa therapy.
The neural and molecular mechanisms underlying their development are partially …