关键词: Circuitos Circuits Enfermedad de Huntington Enfermedad de Parkinson Fronto-subcortical Frontosubcorticales Huntington's disease Movement disorders Neuropsiquiatría Neuropsychiatry Parkinson's disease Trastornos del movimiento

Mesh : Cerebral Cortex / physiopathology Frontal Lobe / physiopathology Humans Huntington Disease / drug therapy physiopathology psychology Mental Disorders / drug therapy physiopathology psychology Movement Disorders / drug therapy physiopathology psychology Parkinson Disease / drug therapy physiopathology psychology Prevalence

来  源:   DOI:10.1016/j.rcp.2017.05.010   PDF(Sci-hub)

Abstract:
Movement disorders can be defined as neurological syndromes presenting with excessive or diminished automatic or voluntary movements not related to weakness or spasticity. Both Parkinson\'s disease (PD) and Huntington\'s disease (HD) are well-known examples of these syndromes. The high prevalence of comorbid psychiatric symptoms like depression, anxiety, obsessive-compulsive symptoms, hallucinations, delusions, impulsivity, sleep disorders, apathy and cognitive impairment mean that these conditions must be regarded as neuropsychiatric diseases. In this article, we review neuroanatomical (structural and functional), psychopathological and neuropsychological aspects of PD and HD. The role of fronto-subcortical loops in non-motor functions is particularly emphasised in order to understand the clinical spectrum of both diseases, together with the influence of genetic, psychological and psychosocial aspects. A brief description of the main psychopharmacological approaches for both diseases is also included.
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