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Respiratory dysfunction in Parkinson's disease

L K Brown1

  • 1Department of Internal Medicine, St. Joseph's Hospital and Medical Center, Phoenix, Arizona.

Clinics in Chest Medicine
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

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Parkinsonian syndromes, including Parkinson's disease, can cause severe respiratory issues like impaired breathing and airway obstruction. Treatments for these conditions may also lead to drug-induced respiratory dysfunction and lung fibrosis.

Area of Science:

  • Neurology
  • Pulmonology
  • Pharmacology

Background:

  • Parkinsonian syndromes encompass idiopathic Parkinson's disease and secondary forms, characterized by motor deficits like rigidity and bradykinesia.
  • These syndromes are linked to increased respiratory morbidity and mortality, presenting as neuromuscular-like pulmonary function impairment.
  • Specific syndromes, like Multiple System Atrophy (MSA), can cause life-threatening upper airway obstruction and ventilatory control abnormalities.

Purpose of the Study:

  • To review the respiratory complications associated with various parkinsonian syndromes.
  • To examine the impact of medications used in treating parkinsonian syndromes on respiratory health.
  • To highlight potential life-threatening respiratory issues in patients with these neurological disorders.

Main Methods:

Related Experiment Videos

  • Literature review of parkinsonian syndromes and their respiratory manifestations.
  • Analysis of respiratory complications, including pulmonary function impairment and ventilatory control abnormalities.
  • Examination of drug-induced respiratory dysfunction and pulmonary toxicity from Parkinson's disease medications.

Main Results:

  • All parkinsonian syndromes are associated with increased respiratory mortality and can cause neuromuscular-type pulmonary dysfunction.
  • Upper airway obstruction and abnormal ventilatory control are significant risks, particularly in MSA.
  • Medications like L-dopa and dopamine agonists can induce respiratory problems, including choreiform movements, akinesia, and pleural/pulmonary fibrosis.

Conclusions:

  • Parkinsonian syndromes pose significant risks for respiratory complications, impacting morbidity and mortality.
  • Understanding these respiratory risks is crucial for managing patients with parkinsonian syndromes.
  • Medication side effects, including L-dopa and dopamine agonists, necessitate careful monitoring for respiratory adverse events.