PT - JOURNAL ARTICLE AU - Erwin B. Montgomery, Jr. TI - Two advances in the management of Parkinson disease DP - 2002 Aug 01 TA - Cleveland Clinic Journal of Medicine PG - 639--643 VI - 69 IP - 8 4099 - http://www.ccjm.org/content/69/8/639.short 4100 - http://www.ccjm.org/content/69/8/639.full SO - Cleve Clin J Med2002 Aug 01; 69 AB - Levodopa should generally be avoided early in the course of Parkinson disease; dopamine agonists, particularly second-generation agents such as ropinirole (Requip) and pramipexole (Mirapex), carry a smaller long-term risk of dyskinesia and should be used instead. Deep brain stimulation is remarkably effective in refractory cases and may well usher in a new era in the treatment of chronic neurologic disease.