Skip to main content
AAN.com
Brief Communications
December 11, 2001

Cannabinoids reduce levodopa-induced dyskinesia in Parkinson’s disease: A pilot study

December 1, 2001 issue
57 (11) 2108-2111

Abstract

The lateral segment of the globus pallidus (GPl) is thought to be overactive in levodopa-induced dyskinesia in PD. Stimulation of cannabinoid receptors in the GPl reduces γ-aminobutyric acid (GABA) reuptake and enhances GABA transmission and may thus alleviate dyskinesia. In a randomized, double-blind, placebo-controlled, crossover trial (n = 7), the authors demonstrate that the cannabinoid receptor agonist nabilone significantly reduces levodopa-induced dyskinesia in PD.

Get full access to this article

View all available purchase options and get full access to this article.

Supplementary Material

File (sieradzan.doc)

References

1.
Brotchie JM. Adjuncts to dopamine replacement: a pragmatic approach to reducing the problem of dyskinesia in Parkinson’s disease. Mov Disord . 1998; 13: 871–876.
2.
Brotchie JM. The neural mechanisms underlying levodopa-induced dyskinesia. Ann Neurol . 2000; 47 (suppl 1): 105–114.
3.
Crossman AR. A hypothesis on the pathophysiological mechanisms that underlie levodopa- or dopamine agonist-induced dyskinesia in Parkinson’s disease: implications for future strategies in treatment. Mov Disord . 1990; 5: 100–108.
4.
Obeso JA, Rodriguez-Oroz MC, Rodriguez M, DeLong MR, Olanow CW. Pathophysiology of levodopa-induced dyskinesias in Parkinson’s disease: problems with the current model. Ann Neurol . 2000; 47 (suppl 1): 22–34.
5.
Mailleux P, Parmentier M, Vanderhaeghen JJ. Distribution of cannabinoid receptor messenger RNA in the human brain: an in situ hybridization histochemistry with oligonucleotides. Neurosci Lett . 1992; 143: 200–204.
6.
Maneuf YP, Nash JE, Crossman AR, Brotchie JM. Activation of the cannabinoid receptor by delta 9-tetrahydrocannabinol reduces gamma-aminobutyric acid uptake in the globus pallidus. Eur J Pharmacol . 1996; 308: 161–164.
7.
Langston JW, Widner H, Goetz CG, et al. Core assessment program for intracerebral transplantations (CAPIT). Mov Disord . 1992; 7: 2–13.
8.
Goetz CG, Stebbins GT, Shale HM, et al. Utility of an objective dyskinesia rating scale for Parkinson’s disease: inter- and intrarater reliability assessment. Mov Disord . 1994; 9: 390–394.
9.
Webster DD. Critical analysis of the disability in Parkinson’s disease. Mod Treat . 1968; 5: 257–282.