From: Norepinephrine: the next therapeutics frontier for Parkinson's disease
• Progressive worsening of all clinical features | • Unpredictable immobility (freezing of gait, prolonged "off" states) |
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• Inadequate tremor control | • Autonomic dysfunction (postural hypotension, constipation, dysphagia) |
• Balance impairment (particularly retropulsive imbalance) | • Sleep disturbance (fragmented sleep, rapid-eye-movement behavioral disorder) |
• Postural disturbance (forward flexion) | • Depression, fatigue, and apathy |
• Involuntary movements with dopaminergic therapy (dyskinesia, dystonia) | • Progressive cognitive decline (including impaired working memory and executive dysfunction even in the absence of dementia) |