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Abstract

Parkinson disease is the most common neurodegenerative disease reported worldwide and presents multiple diverse and disparate manifestations over a prolonged disease course. At any point, speech and swallowing functions may be disturbed, and dysfunctional swallowing, leading to aspiration pneumonia, is the most common cause of death. Current treatments demonstrate limited benefit for speech and swallowing impairments, but novel approaches and greater insight into disease pathogenesis offer hope of improved management of Parkinson disease and its sequelae.

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Abbreviations

AADC:

Aromatic amino acid decarboxylase

AD:

Autosomal dominant

AR:

Autosomal recessive

BBB:

Blood-brain barrier

COMT:

Catechol-O-methyltransferase

DA:

Dopamine

DJ-1:

DJ-1 parkinsonism associated deglycase∗

LRRK2:

Leucine-rich repeat kinase 2∗

Parkin:

Parkin (PARK2)∗

PD:

Parkinson disease

PINK1:

PTEN-induced putative kinase 1∗

RLN:

Recurrent laryngeal nerve

SNCA:

α-Synuclein gene (also called PARK1/4)∗

UES:

Upper esophageal sphincter

VF:

Vocal folds

VFSS:

Video-fluoroscopic swallowing study

∗:

Gene names for genes associated with familial Parkinson disease

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Allen, J.E., Miles, A. (2020). Parkinson Disease. In: Weissbrod, P., Francis, D. (eds) Neurologic and Neurodegenerative Diseases of the Larynx. Springer, Cham. https://doi.org/10.1007/978-3-030-28852-5_12

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