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Comparison in Parkinsonism-Dementia and Amyotrophic Lateral Sclerosis

Thomas N. Chase, MD; E. Michael Holden, MD; Jacob A. Brody, MD

Arch Neurol. 1973;29(5):328-330.

Abstract
The incidence of levodopa-induced dyskinesias in 20 Guamanian patients with parkinsonism-dementia (PD) was compared with that found in 14 Guamanians with amyotrophic lateral sclerosis (ALS), who were matched for dose and duration of drug exposure. While 55% of the PD patients developed abnormal involuntary movements during the first six months of treatment, none of the ALS patients manifested this complication. In PD patients no definite correlation could be documented between pretreatment parkinsonian severity or degree of response to levodopa and the appearance of dyskinesias. The results suggest that lesions of the type which produce Parkinson disease increase the susceptibility to levodopa-induced dyskinesias, but that apparently denervation supersensitivity alone does not account for this phenomenon.

Author Affiliations
Bethesda, Md

From the Neurology Unit, National Institute of Mental Health (Dr. Chase), and the Epidemiology Branch, National Institute of Neurological Disease and Stroke (Drs. Holden and Brody), Bethesda, Md.

Footnotes
Accepted for publication June 26, 1973.

Reprint requests to Neurology Unit, National Institute of Health, Clinical Center, 9000 Rockville Pike, Bethesda, MD 20014 (Dr. Chase).

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