Gastrointestinal disorders in hyperkinetic movement disorders and ataxia.

Ataxia BMI Chorea Constipation Dyspepsia Dysphagia Dystonia Gastritis Gastrointestinal Gastroparesis Irritable bowel syndrome Movement disorder Myoclonus Paroxysmal movement disorders Restless legs syndrome Sialorrhea Tardive dyskinesia Tremor Weight

Journal

Parkinsonism & related disorders
ISSN: 1873-5126
Titre abrégé: Parkinsonism Relat Disord
Pays: England
ID NLM: 9513583

Informations de publication

Date de publication:
09 2021
Historique:
received: 12 12 2020
revised: 24 08 2021
accepted: 08 09 2021
pubmed: 22 9 2021
medline: 12 2 2022
entrez: 21 9 2021
Statut: ppublish

Résumé

Gastrointestinal (GI) disorders have been thoroughly investigated in hypokinetic disorders such as Parkinson's disease, but much less is known about GI disorders in hyperkinetic movement disorders and ataxia. The aim of this review is to draw attention to the GI disorders that are associated with these movement disorders. References for this systematic review were identified by searches of PubMed through May 2020. Only publications in English were reviewed. Data from 249 articles were critically reviewed, compared, and integrated. The most frequently reported GI symptoms overall in hyperkinetic movement disorders and ataxia are dysphagia, sialorrhea, weight changes, esophago-gastritis, gastroparesis, constipation, diarrhea, and malabsorption. We report in detail on the frequency, characteristics, pathophysiology, and management of GI symptoms in essential tremor, restless legs syndrome, chorea, and spinocerebellar ataxias. The limited available data on GI disorders in dystonias, paroxysmal movement disorders, tardive dyskinesias, myoclonus, and non-SCA ataxias are also summarized. The purpose of our systematic review is to draw attention that, although primarily motor disorders, hyperkinetic movement disorders and ataxia can involve the GI system. Raising awareness about the GI symptom burden in hyperkinetic movement disorders and ataxia could contribute to a new research interest in that field, as well as improved patient care.

Sections du résumé

BACKGROUND
Gastrointestinal (GI) disorders have been thoroughly investigated in hypokinetic disorders such as Parkinson's disease, but much less is known about GI disorders in hyperkinetic movement disorders and ataxia. The aim of this review is to draw attention to the GI disorders that are associated with these movement disorders.
METHODS
References for this systematic review were identified by searches of PubMed through May 2020. Only publications in English were reviewed.
RESULTS
Data from 249 articles were critically reviewed, compared, and integrated. The most frequently reported GI symptoms overall in hyperkinetic movement disorders and ataxia are dysphagia, sialorrhea, weight changes, esophago-gastritis, gastroparesis, constipation, diarrhea, and malabsorption. We report in detail on the frequency, characteristics, pathophysiology, and management of GI symptoms in essential tremor, restless legs syndrome, chorea, and spinocerebellar ataxias. The limited available data on GI disorders in dystonias, paroxysmal movement disorders, tardive dyskinesias, myoclonus, and non-SCA ataxias are also summarized.
CONCLUSION
The purpose of our systematic review is to draw attention that, although primarily motor disorders, hyperkinetic movement disorders and ataxia can involve the GI system. Raising awareness about the GI symptom burden in hyperkinetic movement disorders and ataxia could contribute to a new research interest in that field, as well as improved patient care.

Identifiants

pubmed: 34544654
pii: S1353-8020(21)00334-5
doi: 10.1016/j.parkreldis.2021.09.005
pii:
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

125-133

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Auteurs

Swati Pradeep (S)

Department of Neurology, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA.

Raja Mehanna (R)

Department of Neurology, University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA. Electronic address: raja.mehanna@uth.tmc.edu.

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