Tatjana Smiljković

Klinički centar Srbije, Beograd, Central Serbia, Serbia

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Publications (6)20.43 Total impact

  • Marina Svetel · Tatjana Smiljković · Tatjana Pekmezović · Vladimir Kostić ·
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    ABSTRACT: The aim of this study was to estimate the prevalence and risk factors for the development of hallucinations in patients with Parkinson's disease (PD). This cross-sectional study included 180 consecutive, non-demented patients with PD. Out of them, 24 patients (13%) experienced some kind of hallucinations. Visual hallucinations were present in 22/24 (90%) subjects. Univariate logistic regression analysis has shown relationship between presence of hallucinations and the following variables: age of patients (p = 0.025), PD duration (p = 0.001), duration of levodopa treatment (p = 0.001), total daily dose of levodopa (p = 0.033), presence of levodopa-induced dyskinesia (p = 0.002) and their duration (p = 0.021), and experience of nightmares (p = 0.042). Hallucinations were also associated with higher scores of the UPDRS (p = 0.001), HDRS (p = 0.001) and the NPI total score (p = 0.001), and higher H-Y stages of the disease (p = 0.001). Multivariate regression analysis has demonstrated that the duration of PD (p = 0.024) as well as NPI total score (p = 0.002) was significant independent risk factors for hallucinations in PD.
    Acta neurologica Belgica 03/2012; 112(1):33-7. DOI:10.1007/s13760-012-0027-z · 0.89 Impact Factor
  • Tatjana Smiljković ·
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    ABSTRACT: Introduction Sleep problems, common in Parkinson&apos;s disease (PD), are the consequence of the neurodegenerative process, as well as of neurochemical changes on one side, and of drug intake on the other side. Objective To estimate the frequency of sleep problems and its correlation with the disease, therapy and demographic factors in patients with idiopathic Parkinson&apos;s disease. Methods The study enrolled 65 consecutive patients who fulfilled criteria for idiopathic PD. The original questionnaire was performed to obtain demographic, disease and treatment data. The patients were tested with standardized scales: unified PD rating scale (UPDRS) and Hoehn and Yahr staging scale (HY scale). Mini mental stage examination (MMSE) was performed for the evaluation of cognitive status. Parkinson&apos;s disease sleep scale (PDSS) was applied for the assessment of sleep problems. Results There were 37 male and 28 female patients. Negative correlations (p<0.01) were found between mean total PDSS and mean total UPDRS, as well as the mean scores of each part of UPDRS and HY stage. There was no difference in PDSS scores regarding gender. Analyzing each item in the PDSS scale, the lowest score was obtained for item 8 (nocturia). We did not find any difference in total PDSS scores between the patients on d-agonist and those who did not take d-agonist. Regarding amantadin, intake there were differences between groups for items concerning nocturnal motor symptoms. Conclusion Patients in advanced stages of the disease and worse motility have more prominent sleep problems. Drug therapy has important impact on sleep quality in patients with PD. .
    Srpski arhiv za celokupno lekarstvo 01/2010; 138(5). DOI:10.2298/SARH1006274S · 0.23 Impact Factor
  • M. Svetel · T. Smiljkovic · T. Pekmezovic · N. Dragasevic · V. Kostic ·

    Parkinsonism & Related Disorders 05/2006; 12:30-31. DOI:10.1016/S1353-8020(07)70101-3 · 3.97 Impact Factor
  • T. Smiljkovic · M. Svetel · T. Pekmezovic · N. Dragasevic · V. Kostic ·

    Parkinsonism & Related Disorders 05/2006; 12:22-22. DOI:10.1016/S1353-8020(07)70070-6 · 3.97 Impact Factor
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    ABSTRACT: Hemiballism is a relatively rare hyperkinetic disorder with unknown incidence. Stroke is the most common cause of hemiballism (vascular hemiballism), responsible for the disorder in 50% to 100% of cases. We studied the incidence of vascular hemiballism in the population of Belgrade (Serbia) 40 years of age or older during the period 1 January 1991 to 31 December 2002. During that time period, 37 patients with hemiballism due to stroke were diagnosed. The annual incidence rates varied from 0.14 to 0.87/100,000 (average 0.45/100,000) of general population.
    Movement Disorders 01/2005; 19(12):1469-72. DOI:10.1002/mds.20256 · 5.68 Impact Factor
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    ABSTRACT: The aim of this cross-sectional study was to estimate the prevalence of different subtypes of idiopathic focal dystonia in the population of Belgrade (Serbia), Yugoslavia. On December 31, 2001, the crude prevalence of all studied types of dystonia (focal, segmental, and multifocal) in Belgrade was 13.6 per 100,000 population (11.8 per 100,000 for men and 15.2 per 100,000 for women). Type-specific prevalence for focal dystonia was 11.2 per 100,000. The prevalence for cervical dystonia, blepharospasm, writer's cramp and laryngeal dystonia were 5.9 per 100,000, 1.9 per 100,000, 1.9 per 100,000, and 1.1 per 100,000, respectively.
    Movement Disorders 12/2003; 18(11):1389-92. DOI:10.1002/mds.10615 · 5.68 Impact Factor