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Doody's Review ServiceReviewer: Joseph I Sirven, MD (Mayo Clinic Arizona)
Description: This is thought to be the first truly comprehensive book dealing with the range of nonmotor symptoms seen in Parkinson's disease. Key international experts and opinion leaders have contributed their experience and expertise to 29 chapters on various nonmotor symptoms of Parkinson's disease. Topics range from olfactory problems, depression, and sleep disorders to dementia, pain, bladder or bowel dysfunction, and dribbling of saliva.
Purpose: For years, the nonmotor symptoms of Parkinson's have remained underresearched, misunderstood, misrepresented, and underreported. They may predate the motor syndrome of Parkinson's and, thus, may in the future allow detection of people at risk of Parkinson's and aid in the effort to discover effective neuroprotective therapy for Parkinson's. The task here is to improve the deficiencies in our knowledge to provide better treatment delivery and quality of life for our patients.
Audience: The book serves as an invaluable reference for movement disorder specialists, neurologists, geriatricians, and other healthcare professionals who care for people with Parkinson's. Researchers who are focusing on further studies to address the role of nonmotor symptoms and the effect of treatment as well as future drug therapy to improve the health and quality of life of patients also would be interested.
Features: Chapters are devoted to various nonmotor symptoms and premotor diagnosis of Parkinson's, nonmotor symptoms in early motor stages and in advanced Parkinson's, and in genetic forms of Parkinson's. Cognitive dysfunction is discussed as well as depression, anxiety, apathy, dementia, fatigue, and psychosis. Also considered are sleep disorders, bladder dysfunction, gastrointestinal problems, sexual disorders, restless leg syndrome, chronic pain, and ophthalmologic difficulties, as well as a few others. Assessment tools and imaging are also noted.
Assessment: This is an extensive collection of research articles that summarizes the current understanding of nonmotor symptoms in Parkinson's and points the way to future research. It is a great reference guide and thought-provoking book.