Non motor complications in Parkinson’s disease include:
- Hallucinations and confusion
- Psychiatric complications with depression and anxiety
the impulsive control disorders (ICD), often triggers by some antiparkinsonian drugs such as Pramipexole and Ropinirole in vulnerable patients (male, past history of addiction, past history of depression, family history of addiction); they include gambling, hypersexulaity, sweet craving and compulsive shopping.
- Sleep disorders
These complications are the most challenging to treat as they often requires a compromise with the mobilty.
Ss much as the Deep Brain Stimulation has been a dramatic therapeutic advance in the treatment of the motor complications, there is still a lot of progress to do in the understanding and treatment of the psychiatric complications and the dementia in Parkinson’s disease. they are the complications with the strongest impairement of the quality of life of the patient and his carer.