Les cahiers de l'année gérontologique

, Volume 4, Issue 2, pp 50–55 | Cite as

Quelles thérapeutiques proposer dans la maladie de Parkinson du sujet âgé ?

Article Original / Original Article
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Résumé

Le traitement de la maladie de Parkinson du sujet âgé prend en compte plusieurs paramètres liés à l’âge : différences dans le profil clinique de la maladie, fréquence des comorbidités, moins bonne tolérance aux traitements, observance diminuée. Les médicaments de base du traitement des troubles moteurs sont la levodopa, l’entacapone et la rasagiline. Au stade évolué, l’apomorphine souscutanée ou la levodopa intraduodénale peuvent être discutées. Les troubles nonmoteurs font l’objet de traitements spécifiques. Une prise en charge par kinésithérapie et orthophonie est indispensable.

Mots clés

Maladie de Parkinson Traitement Sujet âgé Levodopa Rééducation 

What are the therapeutic options for Parkinson’s disease in elderly?

Abstract

Treatment of Parkinson’s disease in elderly takes into account age-related specificity including differences in the clinical expression of the disease, increased diagnosis difficulties, differences in drugs tolerance, frequent co-morbidity, and poor adherence. Basically, drugs used to treat motor disorders are levodopa, entacapone and rasagiline. In advanced-stage, subcutaneous apomorphine and intraduodenal levodopa can be discussed. Non-motor disorders require specific treatments. Rehabilitation with physiotherapy and speech therapy is mandatory.

Keywords

Parkinson’s disease Treatment Elderly Levodopa Rehabilitation 

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Copyright information

© Springer-Verlag France 2012

Authors and Affiliations

  1. 1.Département de neurologieHôpital SalpêtrièreParis cedex 13France

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