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Cited by 363

The DOI matches its Crossref record; 213 of the 213 references it cites were found in a registry or an index.

Autonomic dysfunction in Parkinson’s disease: Implications for pathophysiology, diagnosis, and treatment

Open access
Chen, Zhichun, Li, Guanglu, Liu, Jun·2020·Neurobiology of Disease

Abstract

Parkinson's disease (PD) is a neurodegenerative disease with a 200 year-long research history. Our understanding about its clinical phenotype and pathogenesis remains limited, although dopaminergic replacement therapy has significantly improved patient outcomes. Autonomic dysfunction is an essential category of non-motor phenotypes that has recently become a cutting edge field that directs frontier research in PD. In this review, we initially describe the epidemiology of dysautonomic symptoms in PD. Then, we perform a meticulous analysis of the pathophysiology of autonomic dysfunction in PD and propose that the peripheral autonomic nervous system may be a key route for α-synuclein pathology propagation from the periphery to the central nervous system. In addition, we recommend that constipation, orthostatic hypotension, urinary dysfunction, erectile dysfunction, and pure autonomic failure should be viewed as prodromal dysautonomic markers in PD prediction and diagnosis. Finally, we summarize the strategies currently available for the treatment of autonomic dysfunction in PD and suggest that high-quality, better-designed, randomized clinical trials should be conducted in the future.

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Metadata

Authors
Chen, Z., Li, G., & Liu, J.
Venue
Neurobiology of Disease
Publisher
Elsevier BV
Published
2020-02
Volume
134
Pages
104700
ISSN
0969-9961 (ISSN-L)
OpenAlex
W2991891929
Cited by
363
References
213
FWCI
9.71
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Autonomic dysfunction in Parkinson’s disease: Implications for pathophysiology, diagnosis, and treatment. https://app.cochat.ai/papers/10.1016/j.nbd.2019.104700
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Chen, Z., Li, G., & Liu, J. (2020). Autonomic dysfunction in Parkinson’s disease: Implications for pathophysiology, diagnosis, and treatment. Neurobiology of Disease. https://doi.org/10.1016/j.nbd.2019.104700

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.