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| Neurology supplements are not peer-reviewed. Information contained in Neurology supplements represent the opinions of the authors and are not endorsed by nor do they reflect the views of the American Academy of Neurology, Editor-in-Chief, or Associate Editors of Neurology. |
From the Department of Neurology, Mt. Sinai School of Medicine, New York, NY.
Address correspondence and reprint requests to Dr. William Koller, Department of Neurology, Mt. Sinai School of Medicine, 1 Gustave Levy Place, Annenberg 1494, New York, NY 10029.
Levodopa, introduced in the late 1960s, was the first highly effective drug for the symptomatic treatment of Parkinsons disease (PD) and remains the mainstay of pharmacologic treatment. However, long-term treatment has important limitations. The disease continues to progress despite treatment with levodopa, and a neuroprotective therapy is urgently required. In addition, motor complications associated with chronic levodopa therapy are an important source of disability. Treatment of these complications forms a major focus of modern PD management, and it is in this area that recent advances in our knowledge offer the best opportunity for therapeutic gain. In the search for improved therapies, suitable outcome measures to better assess overall disability in PD and disease progression are essential.
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