Características de los trastornos no motores en pacientes con enfermedad de parkinson. Una revisión narrativa.
Characteristics of non-motor disorders in patients with parkinson's disease. A narrative review

Diego Bratta, Yenny Pineda

Resumen


La enfermedad de Parkinson constituye la segunda enfermedad neurodegenerativa más frecuente (América del Sur 394 por 100 000) la cual afecta el control del movimiento, equilibrio y funciones cognitivas, entre otras. Se caracteriza por presentar síntomas motores y no motores, estos últimos han ganado relevancia, debido a que preceden a los síntomas motores e interfieren negativamente en la calidad de vida de los pacientes. El objetivo del estudio es revisar en la literatura los datos más actualizados, con el tipo y frecuencia de los trastornos no motores diagnosticados en pacientes con enfermedad de Parkinson. Se realizó una búsqueda bibliográfica de los últimos 5 años, en los motores de búsqueda de PubMed y la Biblioteca Virtual de Salud de la OPS, en cada una de ellas se utilizaron ecuaciones de búsqueda a través de términos MeSh/DeCS: Trastornos no motores, Síntomas no motores, Manifestaciones clínicas no motoras y enfermedad de Parkinson. De acuerdo a los resultados obtenidos, se evidenció que los síntomas no motores más frecuentes son los trastornos del ánimo y del sueño, existiendo diferencias entre hombres y mujeres. En conclusión, los síntomas no motores deben ser identificados de manera temprana o de forma retrospectiva, con la finalidad de realizar un manejo terapéutico integral del paciente.

ABSTRACT:

Parkinson's disease is the second most frequent neurodegenerative disease that affects movement control, balance and cognitive functions, among others. It is characterized by presenting motor and non-motor symptoms, the latter have gained relevance because they precede motor symptoms and negatively interfere with the quality of life of patients. The objective of the study is to review the most up-to-date data in the literature, with the type and frequency of non-motor disorders diagnosed in patients with Parkinson's disease. A bibliographic search of the last 5 years was carried out, in the PubMed and PAHO Virtual Health Library search engines, in each of them search equations were used through MeSh/DeCS terms: Non-motor disorders, Non-motor symptoms, Non-motor clinical manifestations and Parkinson's disease. According to the results obtained, it was evidenced that the most frequent non-motor symptoms are mood and sleep disorders, with differences between men and women. In conclusion, non-motor symptoms must be identified early or retrospectively, in order to carry out a comprehensive therapeutic management of the patient.

DOI:

https://doi.org/10.53766/GICOS/2023.08.03.09

Recibido: 15-01-2023. Aprobado: 21-02-2023. Publicado: 26-10-2023


Palabras clave


síntomas no motores; enfermedad de Parkinson; enfermedades neurodegenerativas; non-motor symptoms; Parkinson's disease; neurodegenerative diseases; neurology;

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Referencias


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DOI: https://doi.org/10.53766/GICOS

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