Subacute peripheral neuropathy under duodopa therapy without cobalamin deficiency and despite supplementation

Continuous jejunal levodopa infusion is an increasingly used therapy option in patients with Parkinson’s disease who experience severe fluctuations from oral levodopa. In a number of recent reports polyneuropathy in patients receiving jejunal levodopa infusion was referenced to cobalamin (vitamin B1...

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Veröffentlicht in:Journal of Neural Transmission 2014-10, Vol.121 (10), p.1269-1272
Hauptverfasser: Lehnerer, Sophie M., Fietzek, Urban M., Messner, Michael, Ceballos-Baumann, Andres O.
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container_issue 10
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container_title Journal of Neural Transmission
container_volume 121
creator Lehnerer, Sophie M.
Fietzek, Urban M.
Messner, Michael
Ceballos-Baumann, Andres O.
description Continuous jejunal levodopa infusion is an increasingly used therapy option in patients with Parkinson’s disease who experience severe fluctuations from oral levodopa. In a number of recent reports polyneuropathy in patients receiving jejunal levodopa infusion was referenced to cobalamin (vitamin B12) deficiency. We describe one of three cases from our hospital with severe subacute polyneuropathy that developed during jejunal levodopa infusion, and occurred despite vitamin substitution therapy and normal vitamin B12 and holotranscobalamin serum levels.
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subjects Aged
Antiparkinson Agents - administration & dosage
Antiparkinson Agents - adverse effects
Carbidopa - administration & dosage
Carbidopa - adverse effects
Drug Combinations
Humans
Infusions, Parenteral
Jejunum
Levodopa - administration & dosage
Levodopa - adverse effects
Male
Medicine
Medicine & Public Health
Neurology
Neurology and Preclinical Neurological Studies - Short communication
Neurosciences
Parkinson Disease - complications
Parkinson Disease - drug therapy
Parkinson Disease - physiopathology
Polyneuropathies - chemically induced
Polyneuropathies - drug therapy
Polyneuropathies - physiopathology
Psychiatry
Vitamin B 12 - administration & dosage
Vitamin B 12 - blood
title Subacute peripheral neuropathy under duodopa therapy without cobalamin deficiency and despite supplementation
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