Acute effects of L-dopa on event-related desynchronization in Parkinson's disease

Neurol Sci. 2002 Sep;23(3):91-7. doi: 10.1007/s100720200033.

Abstract

We tested whether dispersible L-dopa has acute effects on event-related desynchronization (ERD) of the mu rhythm in patients with idiopathic Parkinson's disease (IPD). ERD to voluntary movement is delayed in akinetic IPD patients and improves after chronic L-dopa treatment. We evaluated ERD to self-paced finger movement in 14 IPD patients (before and 30-40 min after oral administration of dispersible L-dopa) and in 10 normal subjects. Sensorimotor ERD onset contralateral to movement was significantly delayed in IPD patients compared to normal subjects. This abnormality was no longer significant after L-dopa treatment. We conclude that a single dose of dispersible L-dopa can improve not only motor performance in IPD patients but also the timing of cortical activation of sensorimotor areas during motor programming.

MeSH terms

  • Aged
  • Antiparkinson Agents / pharmacology*
  • Brain Mapping
  • Cerebral Cortex / drug effects
  • Cerebral Cortex / physiology
  • Electroencephalography / drug effects*
  • Evoked Potentials, Motor / drug effects*
  • Evoked Potentials, Motor / physiology
  • Female
  • Functional Laterality / drug effects
  • Functional Laterality / physiology
  • Humans
  • Levodopa / pharmacology*
  • Male
  • Middle Aged
  • Movement / drug effects*
  • Movement / physiology
  • Parkinson Disease / drug therapy*
  • Parkinson Disease / physiopathology
  • Reaction Time / drug effects
  • Reaction Time / physiology
  • Treatment Outcome

Substances

  • Antiparkinson Agents
  • Levodopa