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Title: [Experience with levodopa/carbidopa intestinal gel in the treatment of advanced Parkinson's disease in Hungary]. Author: Nagy H, Takáts A, Tóth A, Bereczki D, Klivényi P, Dézsi L, Dibó G, Vécsei L, Kovács N, Aschermann Z, Komoly S, Varannai L, Zemlényi G, Valikovics A. Journal: Ideggyogy Sz; 2014 Nov 30; 67(11-12):385-9. PubMed ID: 25720240. Abstract: In the advanced Parkison's disease (PD) the late complications of levodopa therapy have to be considered: motor and/or non-motor fluctuations with or without disturbing dyskinesias. The non-motor fluctuations often influence the quality of life (QoL) in a much more negative way compared with the motor symptoms. In the treatment of advanced PD there are several device-aided methods - deep brain stimulation, apomorphine pump, levodopa/carbidopa intestinal gel (LCIG) - to improve the symptoms, the QoL, sometimes even in an individual, tailored custom form. The LCIG therapy was introduced in Hungary in 2011. Here we summarize the data of our patients: we have tested almost 60 patients and in 43 cases we have started this treatment. We analyze the duration of illness, levodopa therapy, motor and non-motor fluctuation of patients and present our experiences with the test phase and the chronic LCIG therapy via PEG/PEJ implantation. We paid attention to the surgery and device - depending side effects. Our experiences are similar to the international data. In patients selection ,,the right treatment, to the right patient, in the right time" is of importance.[Abstract] [Full Text] [Related] [New Search]