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At this meeting, a number of critical groups confirmed and extended
the original findings by J.A. Obeso and his colleagues. These
authors found that continuous s.c. infusion of lisuride, a
watersoluble dopaminergic 8- -aminoergoline with dopaminergic
properties which can be injected or infused, can improve -
sometimes quite considerably - motor function in severely disabled
fluctuating Parkinsonian patients. The concurrent use of the
peripheral dopamine antagonist domperidone attenuates or prevents
side effects related to the stimulation of "peripheral" dopamine
receptors, including the chemoreceptor trigger zone and some areas
of the hypothalamus outside the blood-brain barrier. The clinical
results discussed in this volume may not only be a basis for
further improvements in our knowledge and therapeutic strategies in
Parkinsonism, they point to the so far neglected importance of
different ways of stimulating neurological or other systems, e.g.
discontinous, oscillatory effects caused by frequent oral
application vs. continuous stimulation as described here with the
lisuride s.c. infusion. Similar concepts have to be discussed and
investigated in neurological disorders. In this respect, this
multidisciplinary meeting and its publication may offer new ideas
and concepts for therapy in general, in addition to its potential
application in the treatment of the complications of Parkinson's
disease.
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