Olfactory function in Parkinsonian syndromes

J Clin Neurosci. 2002 Sep;9(5):521-4. doi: 10.1054/jocn.2001.1071.

Abstract

The study aimed to compare olfactory function in idiopathic Parkinson's disease (IPD) and nonidiopathic Parkinson's syndrome (PS). At their first visit 50 PS patients (age 38-80 years) received testing for odor threshold, olfactory discrimination and identification. All patients underwent extensive neurological diagnostics including PET scans. Patients were followed up for 6-12 months. Most of IPD patients were functionally anosmic (n=19), the remaining IPD patients had severe/moderate hyposmia (n=18). PS patients diagnosed with multiple system atrophy had less severe olfactory deficits (7 hyposmia, 1 normosmia). With the exception of 1 hyposmic patient, other PS patients had no olfactory deficits (progressive supranuclear palsy, corticobasal degeneration, psychogenic PS, essential tremor). This study added to previous findings: (1) there was no major difference betwesen olfactory function in IPD subtypes; (2) all olfactory tests differentiated IPD from nonIPD. These data suggest that olfactory probes improve the diagnostic armamentarium in IPD.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antiparkinson Agents / therapeutic use
  • Diagnosis, Differential
  • Discrimination, Psychological / physiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multiple System Atrophy / diagnosis
  • Multiple System Atrophy / psychology
  • Neuropsychological Tests
  • Olfaction Disorders / diagnosis
  • Olfaction Disorders / etiology
  • Parkinson Disease / diagnosis
  • Parkinson Disease / drug therapy
  • Parkinson Disease / psychology
  • Parkinsonian Disorders / diagnosis*
  • Parkinsonian Disorders / drug therapy
  • Parkinsonian Disorders / psychology
  • Sensory Thresholds / physiology
  • Smell / physiology*

Substances

  • Antiparkinson Agents