Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated Review

Parkinson’s disease is the most common age-related motoric neurodegenerative disease. In addition to the cardinal motor symptoms of tremor, rigidity, bradykinesia, and postural instability, there are numerous non-motor symptoms as well. Among the non-motor symptoms, autonomic nervous system dysfunct...

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Main Authors: Steven D. Mitchell, Christos Sidiropoulos
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Toxins
Subjects:
Online Access:https://www.mdpi.com/2072-6651/13/3/226
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author Steven D. Mitchell
Christos Sidiropoulos
author_facet Steven D. Mitchell
Christos Sidiropoulos
author_sort Steven D. Mitchell
collection DOAJ
description Parkinson’s disease is the most common age-related motoric neurodegenerative disease. In addition to the cardinal motor symptoms of tremor, rigidity, bradykinesia, and postural instability, there are numerous non-motor symptoms as well. Among the non-motor symptoms, autonomic nervous system dysfunction is common. Autonomic symptoms associated with Parkinson’s disease include sialorrhea, hyperhidrosis, gastrointestinal dysfunction, and urinary dysfunction. Botulinum neurotoxin has been shown to potentially improve these autonomic symptoms. In this review, the varied uses of botulinum neurotoxin for autonomic dysfunction in Parkinson’s disease are discussed. This review also includes discussion of some additional indications for the use of botulinum neurotoxin in Parkinson’s disease, including pain.
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spelling doaj.art-2a482e8d30934b3c9281c922486cd7bc2023-11-21T11:11:04ZengMDPI AGToxins2072-66512021-03-0113322610.3390/toxins13030226Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated ReviewSteven D. Mitchell0Christos Sidiropoulos1Department of Neurology, Michigan State University, East Lansing, MI 48824-7015, USADepartment of Neurology, Michigan State University, East Lansing, MI 48824-7015, USAParkinson’s disease is the most common age-related motoric neurodegenerative disease. In addition to the cardinal motor symptoms of tremor, rigidity, bradykinesia, and postural instability, there are numerous non-motor symptoms as well. Among the non-motor symptoms, autonomic nervous system dysfunction is common. Autonomic symptoms associated with Parkinson’s disease include sialorrhea, hyperhidrosis, gastrointestinal dysfunction, and urinary dysfunction. Botulinum neurotoxin has been shown to potentially improve these autonomic symptoms. In this review, the varied uses of botulinum neurotoxin for autonomic dysfunction in Parkinson’s disease are discussed. This review also includes discussion of some additional indications for the use of botulinum neurotoxin in Parkinson’s disease, including pain.https://www.mdpi.com/2072-6651/13/3/226autonomicbotulinum neurotoxinbotulinum toxinnon-motorParkinson’s disease
spellingShingle Steven D. Mitchell
Christos Sidiropoulos
Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated Review
Toxins
autonomic
botulinum neurotoxin
botulinum toxin
non-motor
Parkinson’s disease
title Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated Review
title_full Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated Review
title_fullStr Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated Review
title_full_unstemmed Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated Review
title_short Therapeutic Applications of Botulinum Neurotoxin for Autonomic Symptoms in Parkinson’s Disease: An Updated Review
title_sort therapeutic applications of botulinum neurotoxin for autonomic symptoms in parkinson s disease an updated review
topic autonomic
botulinum neurotoxin
botulinum toxin
non-motor
Parkinson’s disease
url https://www.mdpi.com/2072-6651/13/3/226
work_keys_str_mv AT stevendmitchell therapeuticapplicationsofbotulinumneurotoxinforautonomicsymptomsinparkinsonsdiseaseanupdatedreview
AT christossidiropoulos therapeuticapplicationsofbotulinumneurotoxinforautonomicsymptomsinparkinsonsdiseaseanupdatedreview